BULLETIN PIERCE COUNTY MEDICAL SOCIETY

VOL. X X X II— No. 1 TACOMA, WASH. JANUARY - 1961 BU LLETIN of the Pierce County M edical Society Pierce County Medical Society

1961

OFFICERS P re sid e n t...... Chris C. Reynolds H a p - py President-Elect ...... G. Marshall Whitacre \ ice-President . Robert M. Ferguson Secretary-Treasurer _ Arnold J. Herrmann Executive Secretary...... Judy Gordon

TRUSTEES Happy Birthday Glenn H. Brokaw Chris C. Reynolds Dale D. Doherty Cvril B. Ritchie January Robert M. Ferguson Frederick J. Schwind Arnold J. Herrmann John M. Shaw George S. Kittredge Stanley W. Tuell GEORGE KUNZ Robert W. Osborne G. Marshall Whitacre

D E L E G A T E S STEVENS DIMANT Douglas P. Buttorff George S. Kittredge HILLIS GRIFFIN Arnold J. Herrmann Stanley W. Tuell Herman S. Judd Wayne W. Zimmerman BURTON BROWN ALTERNATE DELEGATES Charles R. Bogue Robert W. Florence RA LPH H U F F Glenn H. Brokaw Glenn G. McBride Robert M. Ferguson Frederick J. Schwind EDMUND KANAR COMMITTEES NORMAN MAGNUSSEN E th ics Miles Parrott, Chairman BERNARD OOTKIN Haskel L. Maier William H. Goering G rievance PA U L SM ITH Cyril B. Ritchie, Chairman J. W. Bowen, Jr. Herman S. Judd ROBERT FERGUSON Program Robert C. Johnson, Chairman GEORGE HESS Robert A. O’Connell Buel L. Sever L ibrary GEORGE RACE S. Robert Lantiere, Chairman J. Edmund Deming Haskel L. Maier CARLISLE DIETRICH Dudley W. Houtz John F. Steele Public Health MAURICE SNYDER Max S. Thomas, Chairman Public Relations 10 WILLIAM BURROWS Robert M. Ferguson, Chairman Kenneth E. Gross John M. Shaw D. M A RLA TT Arnold J. Herrmann. George A. Tanbara Arthur P. Wickstrom 11 AMALY FRESE House and Attendance William E. Avery, Chairman Eugene Hanson Haskel L. Maier 12 WILLIAM TODD Civil Disaster David T. Hellyer, Chairman 16 ROBERT GIBSON Richard B. Link T. R. Haley John M. Shaw Leo F. Sulkosky LEO SULKOSKY D iabetes Edwin J. Fairbourn, Chairman Frank W. Hennings John S. May IS R. A. N O RTON Entertainment JA M E S W A RD Samuel E. Adams, Chairman L. S. Durkin Robert M. Ferguson Robert A. Kallsen 19 THEODORE APA Geriatrics John F. Comfort, Chairman DON CUMMINGS William P. Hauser William McPhee Leonard Morley 24 RENE GAY-BALMAZ Legislative Wayne W. Zimmerman, Chairman 26 Douglas P. Buttorff Charles C. Reberger RAYMOND ELLIS John M. Shaw Medical Education 27 JOHN HAVLINA Elmer W. Wahlberg, Chairman Glenn H. Brokaw Clinton A. Piper 30 WILLIAM SPAULDING Schools R. A. Norton, Chairman Theodore Apa George S. Kittredge 31 VIRGINIA LARSEN Orvis A. Harrelson Jack W. Mandeville George A. Tanbara Traffic and Safety Albert Ehrlich, Chairman Mental Health William H. Todd, Chairman James W. Bouclwin Hugo Van Dooren

Bulletin Staff E d itor______Charles C. Reberger Business Manager------Judy Gordon Auxiliary News Editor------Mrs. Herman S. Judd “ PATRONIZE OUR ADVERTISERS" the choice—by acclamation! for ringworm therapy In the less than 2 years since griseofulvin —first orally effective antifungal antibiotic —was introduced, over 250 leading investigators have published over 150 clinical reports and reviews in 20 countries concerning results in over 4,500 patients with dermatomyeoses. Almost all of the patients benelited from griseofulvin.

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IjIO, 1959. (2) Andrews. G. C.; Domonkos, A. N.. and Silva, A., i J.A.M A. 173:1S42, 1960. (3) Arnold, H. L„ Jr.: Straub Clin. Proc. 25 53 <#S,G. K., and L aT o u ch e. C. J Dnt. M. J. 2 1141, 1959. (5j_ ^ jj£ £ o n $ m J . 59 . I ? I , lln O . (OJ O aruM m i, A .: F a rm a c o (C',1. S< . S. Armed Fo rces M. J. I t J 0 D 1 , I'.UtO. (B) B e a re ^ Ci) Orlirrn.m, H. T.; Lubowe, I. I.. M.inc I960. (10) Bellsario, F. C , mul Dr., Child. 100:131, 1960. (12) Buff) Dermat. 81:982, 1960. (13) li.n. and Roth, F. J., Jr.: A. , J. G.. Jr.; Roth, F. J , Jr Dermat. 81-779, 19i,0. I) Borrlc, P.: Practitionei ^Cadbury, J. B.: S t. L o u is t (I al: North Carolina P'J Ziehell, W. C : J. I« L. C.; Polbois, O. F . , j alton, J. E.: J. Ind Ott, A.: Brit. M. J . j tft, P.: Pres50 mt-d 81:849. 1960. (^ j^l33, 1959. (3D) 11:790, 1960.J ^ 8 , 19^9. (3D) 2:793, 1959.J fc.1. J . 1 1026 !9, 1959. 1 fcher, B.r C W o m on a 195- .1 Slcin^ k 11 0 13 :h, T.f ^Wulno T e x / Li ib ,

" 1 •• griseofulvin J , -\'e2 - p . la ' ISif Mul!;-.v. i 1 * M IS sjO. il' - i) hit'i< I Pllol D erm a;. 3 2 1 131: *: r.iron.^jstciio. v . a Trespal him It. M. j J >, p - 1 . » r. i B. S.: A. :m '-,3 ::i:i C rc c n i M. Circle^ I.-:--jr.J.- ; •nd (.offerer] n 'I'-rmst. 35 l'.» s< •i H. M., Jr., et1 , ;jnd RoL'in-.iiiii. N I9 6 0 . '5) Robinson, R.’ ■) V. A . In v Canada 1 5 :5 3 ,19i t D'.Tn- = ;. ^3 ; ■ 1 et a l.: d, B.t J, Invest. Derm, ■ 1 ; '■ ^ i s a s <#t. Dermat, 34:295, 196' -'.'jpl. *sfi3rci,n ■ Sidl, £., and Spinas^o, ecllcut Med, 24:360, I960. 'J:*10. (13») 111-I I r t Current Therop. Ror,, 1:1, Muddln, S. W.: Canad, M.A.J. 0 It. L.r lvll'1 1^ ^ ffTxill, Dermat. & Vonerool. 13il4t Bleopath, A. 59:370, 1960, (142) Vanbi Am. Podlot. A. 50:297, I960. (144) Wc Wbla 24:423,1959. (145) Welsh, A. L , and" Brit. M. J. 2:1329, 1959. (147) Williams, «, 0. P.: Practitioner 184:383, 1960. (149) Williams' ______TLancel 2:1212, 1950. (150) Wilson. J.W .: M. Clin. N 33:14, 2960. (152) Wronfi, N. M.j Canad. M .AJ. 00:656, 1959. (153) Wrong, N. M., and Rogers, S : A.M.A. Arch, Dermat. 81:776, 1960. (154 S.i Canad. M .AJ. 81:167,1959. (155) Yontef, R.: J. M. Soc. New Jersey 3C 738, 1959. (156) ZInzlus, J,i Deutichcs med. J. 11:121, I960. 4 BU LLETIN of the Pierce County M edical Society

REGULAR MEETING

PIERCE COUNTY MEDICAL SOCIETY

Tuesday, January 10

MEETING . . . 8:15 P.M.

MEDICAL ARTS BUILDING AUDITORIUM

ft ft ft ft

PROGRAM

MOUNTAIN CLIMBING GERHART A. DRUCKER, M.D.

SCIENTIFIC ADVENTURE ON MT. RAINIER T. R. HALEY, M.D.

ILLUSTRATED BY COLORED MOVIES

ft ft ft

A no-host social hour ancl dinner will precede the meeting Social Hour: 6:00 Dinner: 6:45 Place: Honan’s Restaurant 7391/2 St. Helens BULLETIN of the F i e r c e C o u n t y M e d ic a l S o c ie t y In 281 infection cases... more rapid response in 43 per cent of patients.

In 281 patients with various infections (soft-tissue, ear, nose and throat, and intrathoracic), therapy with tetracycline - ) - novobiocin was clinically more effective—satisfactory response obtained more rapidly —than with either antibiotic alone.1

These were the responses obtained:

rapid e t ~v . ~ f 90% of those given tetracycline + novobiocin

pin 63% of those given novobiocin alone

in 58% of those given tetracycline aione

slow or i in 10% of those given tetracycline 4- novobiocin none in 3 7 % of these given novobiocin alone

mmmmtmmmmmmmmm in 42% of those given tetracycline alone

1. Birkett, F. J., and others: Lancct 7:838 (April 18) 1959.

Tetracycline - { - novobiocin is available for your prescription

Each capsule contains: Panmycin* Phosphate (tetracycline phos­ phate complex) equiv­ alent to tetracycline hydrochloride 2 5 0 m g.

Albamycin* (as (Panmycin* Phosphate - j - Albamycin*) novobiocin Panalba* sodium) . . 1 2 5 mg. Your broad-spectrum antibiotic of first resort 3 7 5 mg. Supplied: In bottles of 16 and 100 _ U p jo h n THE UPJOHN COMPANY KALAMAZOO, MICHIGAN 6 BU LLETIN of the P i e r c e C o u n t y M e d i c a l S o c i e t y

January Calendar of Meetings

MONDAY TUESDAY WEDNESDAY THURSDAYFRIDAY

2 3 4 5 6

Tac. Acad, of C.P.C. of T.G. Pierce County Psych. & Neurol. Hosp.— 8:30 a.m. Pediatric Society 8 :3 0 p.m.

9 10 11 12 13

P IE R C E Stafl of COUNTY C.P.C. of T.G. Northern Pacific M ED ICA L Hosp.— 8 :3 0 a.m. Noon SO CIETY 8:15 P.M.

16 17 18 19 20

Tacoma Surgical Club—6:30 p.m. C.P.C. of T„G. P.C.M .B. Board of Hosp.— 8 :3 0 a.m. Trustees— 8 p.m.

23 24 25 26 27

Tac. Academy of Tacoma Academy Gen. Practice of Internal C.P.C. of T.G. 6:30 p.m. Medicine Hosp.— 8:30 a.m. 6 :0 0 p.m.

30 31

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Tetracycline now combined with the new, more active antifungal anti­ biotic-Fungizone- fo r broad spectrum therapy/ antimonilial prophylaxis

Anew advance in broad spectrum antibiotic therapy, with such therapy. It helps to protect the patient from trouble­ MYSTECLlN-F provides all the well-known benefits of tetra­ some, even serious, monilial complications. cycline and also contains the new, clinically proved antifungal New Mysteclin-F provides this added antifungal protection antibiotic, Fungizone.This Squibb-developed antibiotic, which at little increased cost to your patients over ordinary tetracy­ JSunusually free of side effects on oral administration when cline preparations.

given in oral prophylactic doses, has substantially greater in At,triable as; MYSTFCLIN-F CAPSULES { 250 nu;./5U mi4 ) M YSTECLIN-F iVi£roactivity than nystatin against strains of Candida (M onilia) HALF STRENGTH CAPSULES (125 mg./25 ITU;.) MYSTECLIN-F FOR ;albicans. SYULIP (125 mg./25 m*. per 5 CCJ MYSTFCL1N-F FOR AQUEOUS DWOPS I IUU m y./20 m«. percc.) Thus, in addition to providing highly effective broad spec- For complete information, consult package insert or write to Profcs* Irum therapy, MYSTECLIN-F prevents the monilial over- Service Department, Squibb. 7-15 Fifth Avenue. N V. 22, N Y. -gtowth in the gastrointestinal tract so commonly associated

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C sou'tio 8 BU LLETIN of the Pierce County M edical Society

EDITORIALLY SPEAKING

Lilies That Fester

The present stir of activity anticipating the new legislative propositions which came before your Legislative Committee brings about a side reaction of reflection about the ever increasing desire of certain groups for progressively constrictive legislation. Some measures are clearly directed at “elevating” the stature of the groups involved by locking others out, and other measures are designed more genuinely to protect the people.

The hospital licensing law in this State was promulgated by the Wash­ ington State Hospital Association and their carefully planned law passed in 1955 under a “friendly” administration without serious alteration. This law was sent through at that time, in part, because the Washington State Hospital Association expected regulatory legislation along these lines and felt that it would be advantageous to write their own bill. But this law has been very difficult to enforce, some of the requirements for “adequate patient care” have necessitated major changes ol questionable benefit, and the benefits, even where real, may be so costly that there is serious question as to whether the patient woidd be willing to pay the increased resulting rates if he had his choice.

The Joint Commission on Accreditation of Hospitals, although not a strictly law-making body, has founded all its justification on protection of the pat’ent. And this group, too, in attempting to avoid any mistakes in judgment and the horribly anticipated ensuing criticism has become more and more constrictive and demanding.

Even fire inspectors are plagued by this syndrome. They are fearful that if a fire breaks out in a building which has passed inspection, they will be held morally responsible. The move here also is for more and more regulation and control, not because the inspectors are trying to be irritating—they are, in fact, a dedicated and sympathetic group—but because they can’t stancl the thought of making any errors. Separate storage areas exclusively for cyclopropane cost money but appear to be safest. Therefore, cyclopropane, the inspectors tell us, needs its own little storage room with ventilation safeguards to provide a cool temperature.

This movement to regulate and control is strong and is impelled by our basic compulsion to do things right. “Nothing ventured, nothing gained” is applied willy-nilly to submission of bills to the legislators, but seldom is a similar attitude to be found in the enforcement bodies which bring the law into reality.

At the present time, the nurses are asking tighter regulations of registered nurses and, of course, are trying to define even more sharply what acts are BULLETIN o f the Pierce County M edical Society 9 nursing acts. Eventually we get to the point, to draw a very extreme and perhaps unfair example, of the grandmother at home under doctor's orders to force fluids. Does the neighbor lady perform a nursing act when she says to Granny, “Your doctor says you should have this,” and gives Granny a glass of water? The Nurses’ Association is acting in the “interest of the patient.”

Another move to enact licensing of another paramedical body, with exclu­ sion of all not so licensed, is also in the hopper with the bill from the physio­ therapists, again in the “interest of the patient.” A bill to license medical laboratories is expected but has not yet appeared. This again will be proposed as being in the “interest of the patient.”

This argument is difficult to counter, because the reasoning is that, if the doctors oppose these bills which are “in the interest of the patient”, then the doctors must be hostile to the “interest of the patient.”

As we have seen, however, some of the best written bills tend to fester when they have been made into law.

“For sweetest things him sourest by their deeds: Lilies that fester smell far worse than weeds.” —C.C.R.

intravenous, viais. 100 mg. (with 250 mg. Vlt. C). 2SO mg. (with 62 5 mg. VJt. C). SOO mg. (with 1260 m g. Vlt. C).

Intram uscular, vials, 100 mg. (with 250 mg. Vit. C). 250 mg. (with 275 mg. Vit. C). (each with procaine HCI 4.0 mg., magnesium chloride 46.34 mg.)

ACHROMYCIN Tetracycline Lederle

a standard in parenteral antibiotic therapy

LEDERLE LABORATORIES, a Division of AMERICAN CYANAMID COMPANY, Pearl River, New York 10 BU LLETIN of the Pierce County M edical Society

C.O.LYNN ( 0. Providing Fine Funeral Services Since 1905 717-719 Tat. Ave. So. Phone MA 7-7745

Prescription Optical Company

“Fashion In Eyewear”

205 Medical Arts Building

Tacoma, Washington MArket 7-4151

Branches in . . . Lakewood - Everett - Bremerton - Fort Lewis BULLETIN o f the Pierce County M edical Society 11

LEDERLE INTRODUCES

MEPHENOXALONE LEDERLE

TO RESTORE THE NORMAL PATTERN OP EMOTIONAL RESPONSE

CHEMICALLY DISTINCT FROM PREVIOUS TRANQUILIZERS New ataractic which works without detracting signifi­ cantly from mental alert­ ness. Treated patients gener­ ally respond normally to everyday situations without becoming drowsy.

D O S A G E : as an ataractic: Recommended adult dose is one 400 mg. tablet four times daily. PRECAUTIONS: Extensive clinical investiga­ tions have failed to reveal significant toxicity. Nonetheless, as with all new drugs, particu­ larly when the drug is used at high dosage or at any dosage for extended periods, rou­ tine hemograms are advisable. The patient should always remain under supervision as long as TREPIDONE therapy is continued. If side effects outweigh the therapeutic ben­ efits or become a therapeutic problem, the drug should be discontinued. PACKAGE:T a b ­ lets of 400 mg. TREPIDONE Mephenoxa- lone, bottle of 50.

LEDERLE LABORATORIES, a Division of AMERICAN CYANAMID COMPANY, Penrl River, New York

BULLETIN of the P i e r c e C o u n t y M e d ic a l S o c ie t y 13

| When inflammation is present, Darvon® relief combined with Compound reduces discomfort from pain, to a greater extent than does either fever, analgesic given alone. and inflammation

DARVON® COMPOUND and DARVON COMPOUND-65

. . . combine the analgcsic advantages of Darvon with the antipyretic and anti-inflammatory bene­ fits of A.S.A. Compound. Darvon Compound-65 contains twice as much Darvon as regular Darvon Compound without increase in the salicylate con­ tent or size of the Pulvule®. Formulas: Darvon Compound Darvon Compound-65 32 mg...... D a r v o n ...... 65 mg. 162 mg...... Acetophenetidin. . 162 mg. 227 mg...... A .S .A .® ...... 227 mg. 32.4 m g...... C a ffe in e ...... 32.4 mg. Usual Dosage: Darvon Compound: I or 2 Pulvutes three or four times daily. Darvon Compound-65: 1 Pulvule three or Jour limes daily.

Darvon® Compound (dextro propoxyphene and acctylsalicyllc acid com­ pound, Lilly) DarvorV® (dexlro propoxyphene hydrochlorido, Lilly) A,S.A.® Compound (acetyl saS icy I ic acid, acetophenetidin, and caffeine. Lilly) A.S.A.© (acolylsallcyllc acid, Lilly)

Eli Lilly and Company Indianapolis 6y Indianas U.S.A. 120210 1 4 BU LLETIN of the Pierce County M edical Society Molfs Inc. Names New In Memoriam Sales Manager

Volumes may be written and beau­ tiful monuments erected to honor a man’s relationship with society and still be weak memorials, for time will wash away both the words and the monument.

The greatest of all memorials are the living deeds and acts of a man in

relationship to his fellow men and Horace R. Miller society. The greatest memorial to Dr. W. B. Penney is this relationship with Roger B. Molt, President of Molt’s Inc., a his fellow man and society. Dealer in Physicians and Hospital Supplies and Equipment, announces that Horace R. When we examine all the high Miller has been named as Sales Manager. Mr. Miller was formerly Branch Store offices of the medical fraternity to Manager for Shipman Surgical Company. which he was elevated, we can under­ Mr. M olt states that complete Sales and stand in what esteem he was held. His Service will be given throughout the entire state with salesmen being stationed in the guidance of the destiny of the Pierce various principal cities. County Medical Society for twenty- one years is an honor few man attain. ASCR Is Accepting It was a pleasure to serve under his Applications secretary-ship, for his advice was always timely and correct. The American Society of Clinical Radi­ ology is accepting Charter Membership In his medical association with applications from CLINICIANS (Intern­ ists, Cardiologists, Gastro-Enterologists, younger physicians he instilled con­ Chest Physicians, Orthopedists, Rheuma­ fidence in them and in their patients tologists, Pediatricians, Otolaryngologists whom he saw in consultation. He was and General Practitioners) who do their own Diagnostic Radiology. truly a humanitarian, for the health For further information write: needs of an individual were greater Louis Shattuck Baer, M.D., F.A.C.P. 411 Primrose Road than the thought of financial returns. Burlingame, California His interest in fraternal and service clubs was as great as those in medicine. We of the Pierce County Medical OVERWEIGHT? Society and the City of Tacoma have 10-12 HOUR HUNGER CONTROL WITH lost one of our staunchest and most NO REPORTED CONTRAINDICATIONS valuable members. TENUATr DOSPAIf — A l b e r t u s H. B u i s , M.D. for your patient with hypertension

often the only drug required for satisfactory reduction of blood pressure in both mild and moderate

hypertension...commonly relieves headache, palpitation, etc.1...m a y further reduce blood pressure

levels reached op previous regimens2... usually obviates need for potassium supplements... potentiates effect of some adjunctive antihypertensive agents, decreasing their dosage needs, thereby reducing their potential side effects...economically priced for special benefit of long-term patients. Packaging:

NAQUA Tablets, 2 and 4 m g., scored, bottles Of 100 and 1000. References: <1) Cohen, B. M.: Newer Saluretic Agents

In (h e Therapy of Hypertension, paper presented at 6th Internal Cong. In i Med., Basel, Switzerland, Aug. 24-27, I960.

(2) Ford, R. V.: Am. J. Cardiol. 5:407, I960. « «

BULLETIN o f th e Pierce County M edical Society 17

Variations on a Theme from Newsweek “Ever let the fancy roam . . -Keats

Newsweek recalls a forty year old woman who showed diahctic symptoms and whose doctor promptly sent off a blood specimen for a blood sugar reading. Somehow, they say, the laboratory erred and a low sugar was reported. “The doctor administered glucose rather than insulin and the patient died . . . Newsweek, October 24, I960, page 92.

“Objection! The question is impertin­ If we let our fancy roam a bit, a court­ ent!" says an indignant defense attorney. room can be seen with the doctor in the dock being questioned by the plaintiff’s “Objection sustained,” says the Judge. attorney. “Doctor”, he asks, “did you draw “1 withdraw the question, Your Honor,” a specimen of blood from Mrs. Sarah Tod says the plaintiff's attorney. on September 31 which was sent to Under­ “Now, Doctor," he returns, “did you or sell Laboratories, Inc., that same day by did you not consider this report of greater mail for glucose determination?” diagnostic value than your own personal “No, my nurse drew the specimen — examination of the patient?" under my supervision, of course.” “Objection! Argumentative and improper "And what was the result of the test, questioning!” Doctor?” "Sustained.” “Let me see. Yes. Blood glucose 40 milli­ “Now, Doctor, you have stated that this grams per 100 milliliters.” laboratory result influenced your diagnosis. “This is an abornmal result, Doctor?” You must regard this laboratory as one capable oi performing diagnostic labora­ "Yes, this is a low' value.’’ tory tests. Do you?” “And is diagnostic of what, Doctor?" “Yes.” “This indicates hypoglycemia.” “Doctor, have you visited this labora­ “But, Doctor, didn’t the patient show tory?” certain abnormalities which made you sus­ “Well, no, not personally. But it has an pect something else?” excellent reputation.” “Yes, I suspected diabetes.” “Like blood sugar tests, for instance?” “• . . Which should have a high blood “Objection! Argumentative!” sugar?” “Sustained. Strike the last question.” “Yes.” “Doctor, who is in charge of the LTnder- “But you treated the patient on the basis sell Laboratories, Inc.?” of a report of low sugar. Is this correct?” “Yes.” “Mr. Turnemout.” “Mr. Turnemout? Is this person a “This seems peculiar, Doctor. You have doctor?” testified earlier that you are a physician licensed to practice medicine in this state “Well, no, he is a registered technician, and you accept a diagnosis from a labora­ I think.” tory as being better than your own!” “Registered? With whom is he regis­ “Well, of course not. The laboratory tered?” simply issued a report on which my final “With the Registry of Medical Technolo­ diagnosis was based.” gists, I suppose.” “Pretty final, wasn’t it?” (Continued on page IS ) 1 8 B U LLETIN of the Piebce County M edical Society

“Do you know, Doctor?” “Doesn’t this contract agreement cost “W ell, no.” you 75 dollars per month and 75 cents each for specimens over one hundred per “Isn’t it true, Doctor that the Registry m onth?” of Medical Technologists which you men­ tioned is the only such organization recog­ “Yes.” nized by the American Medical Associa­ “Then is it not reasonable to say that tion?” the test cost you about 75c?” “Correct.” “Yes. But this is not the point. It takes “But, Doctor, the Registry has rules de­ skill to collect the specimen and time to claring it unethical for their registrants to mail the specimen.” work without supervision of a physician, “About the collection, Doctor. For col­ hasn’t it?” lection of these specimens do you not re­ “I recall something like that. I believe ceive syringes and tubes and needles from so. Yes.” the Undersell Laboratories which are in­ “Then, Mr. Turnemout is not recognized cluded in the contract?” by your American Medical Association as “Yes.” a registered medical technologist.” “How much does this cost them for each “Well, I don’t know, for sure.” specimen?” “So, Doctor, you have not been inside “Well, a few cents, I suppose.” the laboratory, you do not know the quali­ “Doctor, here is a price list of die people fications of the person in charge of the who make these devices. Would you say laboratory or those whom he has working that seven cents is fairly close?” for him and you personally signed a con­ “Yes.” tract which states that the laboratory is “And the mailing containers require air­ duly qualified to operate a clinical mail postage paid by the laboratory? And laboratory.” they send you an airmail report? Fourteen “I don't think I signed any such thing.” cents, Doctor?” “But, Doctor, here is a copy of your “Yes, I suppose so.” contract and the first line says . . . “Would you estimate a minimum of Would you look at this line, Doctor?” twenty-one cents for all this, considering “Oh! Well. But this doesn’t mean that I time of handling at the laboratory?” have to check all of their tests personally “I couldn’t say.” and that sort of thing.” “But this in your opinion is a reasonable “But you did sign it?” estimate?” “Well, yes, I guess I did.” “I suppose so.” “The Court is requested to enter this “Well, Doctor, even if we forget the contract copy as Exhibit D .” commissions of the field representatives “It is so entered.” and the thick brochures which I have in “Doctor, how much did this test cost my hand, doesn’t this leave only fifty-four Mrs. Tod, or rather, her estate, after you cents to perform the test and cover the killed her with a glucose injection?” operating expenses of the laboratory as “Objection! Argumentative! Impertin­ well?” ent! Irrelevant! “Well, not exactly. I can’t say!” “Sustained.” But somewhere around fifty cents?” “Doctor, how much did you charge Mrs. “Yes, I suppose so.” Tod for this test?” “And you charged Mrs. Sarah Tod five “Five dollars, I believe. Let me check. dollars. Why?” Yes, $5.00.” ‘Well, this is what the profiteering labs “And, Doctor, did you pay $5.00 to have here in town charge!” this test performed?” “You refer to the private laboratory “Well, no. This test is included in my operated by Dr. Cutzem and the other one contract.” run by Mr. Stickzem?” “But, Doctor, didn’t this test cost you “Well, not specifically. The hospitals 75c?” gouge the patients just as much.” No! It is, included in the contract.” ‘But, Doctor, do you think it fair to BULLETIN o f th e Pierce County M edicai. Society 19 charge a patient five dollars too, when the test only cost you seventy-five cents?" Oops, Correction “I didn’t say it cost seventy-five cents!” Correction on page 9 of the December, “But you did state that a figure of about 1960 Bulletin. seventy-five cents was a reasonable estimate?” Some type dropped out of the next to the last paragraph and the first sentence should “I suppose so.” have read “In some states where insurers “Shall I ask the clerk to refresh your have chosen to pay for hospitalization only memory, sir?” in those hospitals which are accredited by “No. About seventy-five cents, then.” the J.C.A.H., accreditation has become . . . “And you charged her five dollars, a prerequisite to survival . . Doctor?”

“Yes.” i1 '' “Things must be going pretty badly. Doctor, if you had to charge the patient over six times what the test cost you. Don’t BEALL’S you think this is gouging a little bit too?” 'I “Objection! Argumentative! Impertinent! Wholly uncalled for!” : The Prescription Store ! “I have no further questions, Your Honor.” 124 Meridian South ' If we let our fancy roam just a bit farther we can even hear the verdict: Plaintiff PUYALLUP i1 awarded one hundred sixty-eight thousand Phone Puyallup 5-8444 four hundred eleven dollars and sixty-eight \ cents.

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Give yourself time to make a Will

Another year in which you m eant to make your Will, but haven’t?

By taking time to make your Will you can give those you love a future free from unexpected hardships . . . and give yourself added peace of mind. Come in to see us now with your attorney. We’ll be glad to help with the financial planning.

G k x i s i i o m C . R o w l a n d Vice President mid Trust Ofiirrr

TRUST DEPARTMENT

MEMBER FEDERAL DEPOSIT INSURANCE CORPORATION 2 2 BU LLETIN of the Pierce County M edical Society WOMAN’S AUXILIARY

AUXILIARY OFFICERS— 1960-61 lard, our legislative chairman, is happy to P re sid e n t...... Mrs. J. Robert Brooke announce that our speaker for tlie meeting President-elect ...... Mrs. Kenneth E. Gross will be Judge Bertil Johnson. Our husbands 1st Vicc-President______Mrs. M. E. Lawrence 2nd Vice-President ...... Mrs. Robert G. Johnson have heard his talk and will verify that this 3rd Vice-President...... Mrs. Dudley Houtz is a meeting we should not miss. 4th Vice-President ______Mrs. Carl O. Granquist Recording Secretary______Mrs. Orvis A. Harrelson The Board will have a “Post Season Corresponding Secretary ...... Mrs. Charles M. McGill T re a su re r...... Mrs. Haskel Maier Brunch”at the Pancake House which is on Assistant Treasurer______Mrs. Glenn H. Brokaw Steilacoom Blvd. just off of South Tacoma

COMMITTEE CHAIRMEN Way, on January 5, 1961, at 10 o’clock. This American Medical Education will be for pleasure and business— to quote Foundation ...... Mrs. Robert C. Johnson National Bulletin ...... Mrs. Dudley Houtz Ruth Brooke, our president. Civil Defense ...... Mrs. Arthur P. Wickstrom H isto rian ...... Mrs. Fay Nace Legislative ...... Mrs. Don Willard Although he was a small baby, weighing M em bership...... Mrs. Glenn H. Brokaw and Mrs. Galen Hoover in at 5 pounds, 10 ounces, the new Davis Nurse Recruitment...... Mrs. Edward S. Eylander Paramedical ...... Mrs. Wayne Zimmerman baby has a formidable name, Geoffrey P rogram ...... Mrs. Herbert C. Kennedy Publicity— Norman Tunis Davis. He arrived on No­ Newspaper —...... Mrs. Robert R. Burt Bulletin ...... Mrs. Herman S. Tudd vember 28, 1960, and is gaining well. And Revisions______—Mrs. Dale D. Doherty Safety______Mrs. Jack Mandeville his big brother is feeling fine now, for S o cia l______Mrs. G. M. Whitacre Speakers Bureau ______Mrs. Philip Grenley which we are all grateful. Telephone______Mrs. Richard B. Link Today’s Health ...... Mrs. M. E. Lawrence Ruth and Sam Light will be in Mexico Minute Women______Mrs. Hillis F. Griffin Com m unity Service______Mrs. Jess Read for a winter trip and we have asked them H eart ______Mrs. Edward R. Anderson Community C ouncil______Mrs. John F. Steele to bring the sun back with them. Journey­ F in an ce ...... Mrs. Joseph B. Harris Dance ...... Mrs. Robert W. Florenceing to Sun Valley later this month will be Fashion Show...... Mrs. Thomas B. Murphy Game Night ...... Mrs. Dudley Houtz A1 and Ruth Sames. Kay and Ross Wright Midyear Conference...... Mrs. Joseph B. Harris left before Christmas for the land “Way down under” and oh, how exciting their itinerary sounded. Maybe when Kay re­ Mrs. M. Edward Lawrence will open turns she will write a description of their her home at 3537 Crest View Drive for our trip for us. Peggy and George Race and January meeting. This will be a “Coffee” at their children had a wonderful trip to 10:30 in the morning. Edith was not at Europe last year and you may look for a home at the time of this writing to issue write-up of their adventures in next month’s exact information about how to find their issue. home, so we’ll do oar best to tell you and also say we didn't get lost our first time out that way. Bridgeport Way is Alexander MEDICAL SPACES FOR RENT Jackson south of Center Street and you follow Bridgeport Way to South 34th; turn IN LAKEWOOD toward the Sound, go over the crest of the hill and watch for the street sign of Crest Two brand-new medical suites in new View. You then tarn left and go to the end building in Lakewood Professional of the block or thereabouts. Their home is Village, suitable for part-time, full time, single or shared occupancy. Only on the left just before the curve. one block from Lakewood Hospital. Kay Luelcen and Maxine Mandeville arc Contact: Margaret Smith, Building No. 2, Lakewood Professional Village, chairmen of the Coffee, assited by Marj 5920 Lake Steilacoom Ave. Phone JU Wicks, Delores Havlina, Marjorie, Nace, 8-5600. Or Les Fagg, 9227 No. Lake Betty May and Dorothy Lantz. Kay Wil­ Dr. S.W., Tacoma 99. JU 8-3950. BULLETIN o f th e Pierce County M edical Society 2 3 HOSPITALS. . .

Christmas center piece and small poodle Saint Joseph’s dog respectively, and Mrs. Farrar who was the winner of the five piece coffee and tea Pediatrics Department bid a fond fare­ set raffled off by the Annex. well to the students on December 14 with a “coffee and cake” hour. How sadly we Everyone had a wonderful time enjoying hated to see them leave but with eagerness the fine food and entertainment and we we greeted the new students who came to would all like to extend a very sincere the department on December 19. thank you to the Sisters for their wonderful party. “And a good time was had by all”, is only a mere expression as we, the staff, send News from Maternity always brings joy many thanks to the Sisters for the wonder­ and some of the most joyous news was re­ ful party which was given on December 15. ceived by the following families: Mrs. Foreman, former Medical Instructor, was Holiday time so filled with rejoicing our blessed with a little girl, another nurse in staff too enjoyed the party on December 22. the making. Mrs. Helen Abetz, the former Gifts were exchanged by the staff members Helen Ryan, received a boy named Mark following the small luncheon composed of Edward. Mrs. Hansen, the former Miss specialties brought by each staff member. Zederic, was surprised with a boy whom The X-Ray Department now strongly they named David Andrew. Likewise Mrs. feels the loss of Mrs. Carol Ringus due to Mosner, Mrs. Stolenberger, Mrs. Barber, a coming bundle of joy. and Mrs. Simpson all received boys. One of our staff, Miss Lenore Kuhn, is Doctor and Mrs. Richard T. Davis be­ back with us after a brief illness. come the proud parents of another son, Geoffrey Norman. On December 20 the Sisters, faculty, and head nurses assembled in the nurses’ resi­ The departmental Christmas party was dence for the annual Sister-Faculty Christ­ held at the home of Mrs. Goetling and was mas party. This is always one of the high­ greatly enjoyed by all. Also the maternity lights of the Christmas season and this staff held a baby shower for Mrs. Anderson year as always we waited with eagerness and a birthday party for Mrs. Ervin. The the sight of the lounge and dining areas night crew enjoyed their Christmas party all decked out in their festive garb. The at the home of Mrs. Higginbottom and theme this year was “The Twelve Days of bless them, they all reported to work the next day. Christmas”. Red and white was the color scheme and if possible the decorations When a few more details are complete were more elaborate and beautiful than we want every single employee to come ever. Our sincere thanks for a wonderful and enjoy open house. party goes to Sister Cecil and Sister Martha Joseph who spent hours in preparation. Best wishes for a Blessed and happy new year to everyone. Miss Pamela Marshall is tire new secre­ tary in the school of nursing office. Miss ( Continued on Page 25) Marshall is a recent graduate of St. Leo high school. She is deeply appreciated by the faculty members for the many little jobs she performed for them in the last hectic days of the quarter. DAMMEIER The employees were the honored guests at the Christmas party given on December Printing Co. 15 by the Sisters. Among the happiest were Mr. David Larson, student nurse, who was BRoadway 2-8303 the winner of the $25 door prize, Mr. Christensen who won a 20 pound turkey, 811 Pacific Ave. Tacoma Doctors Bias and Vadheim who won a 2 4 BU LLETIN of the Pierce County M edical Society

FUNERALS conducted anywhere—any cemetery CEMETERY (your choice) MAUSOLEUM - CREMATION COLUMBARIUM • URN GARDEN MEMORIALS RIIDIAI PI AM (approved by Washington State D U VllM L I L A Il Insurance Commissioner) one downtown office for everything ONE CALL-ONE FINANCIAL ARRANGEMENT C.C.Mellinaer

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Tacoma Braee & Limb Co. | South Tacoma Lenart C. Ceder, owner Drug C o. ☆ \ Fred Ludwig Expertly fitted— Orthopedic Appliances : ★ ★ ★ Artificial Limbs Surgical Belts | PRESCRIPTIONS Arch Supports Trusses DELIVERY SERVICE ☆ * ★ ★ 723 South K Street 5401 South Tacoma Way FUlton 3-4439 GReeniield 4-9419 BULLETIN of iJie P i e r c e C o u n t y M e d i c a l S o c i e t y 2 5 Tacoma General Mary Bridge Miss Lucille Larson and Miss Ann Bar- A continued decrease in the length of low from the laboratory recently attended time that young patients are hospitalized a series of institutes in Seattle for teaching was noted in the annual report compiled by supervisors in the eleven schools of medical Miss Lillian M. McDonald, administrator technology in the state. Speakers on the of Mary Bridge Children’s Hospital. program were: Mrs. Peterson and Airs. Fine “Five years ago most of our patients re­ from the University of Washington and mained 4.o days,” Miss McDonald said. Mr. John Ohlmer from Boeing Airplane “During our last fiscal year, which ended Company. The institutes were sponsored by September 30, the average stay was just the Washington State Society of Medical 3.6 days.” Technologists. The figures were included in the report submitted by the administrator during the The School of Nursing held its annual annual meeting of the hospital's non-profit Christmas party on December 14, in which corporation. Mr. and Mrs. Huber and Mr. and Mrs. Approximately 2,500 children were ad­ Owens were special guests. The party was mitted as in-patients and another 2,000 made complete by the presence of Santa emergency cases were treated during the Claus who was none other than Dr. Wayne year. Zimmerman. The four clinics at Mary Bridge received Impressive ground-breaking ceremonies 4,014 visits from boys and girls. The total for new additions to the hospital were held included 661 visits for orthopedic care; on Friday afternoon, December 16. Master 705 visits for orthoptic and 2,6l0 visits for of ceremonies was Dr. R. Franklin Thomp­ the speech clinic. Thirty-eight patients son, president of the University of Puget wore seen for the cleft palate clinic. Sound. Mr. Harold L. Baird, president of Dr. George A. Tanbara will serve as the hospital’s Board of Trustees, gave the president of the medical and dental staff key address entitled, “Tacoma General during 1961, succeeding Dr. David Hellyer. Hospital from 1SS2 to 1962”. Highlight of Others elected for the new year are Dr. the program was the use ol gold-painted L. Brigham, vice president; Dr. Charles shovels to turn the first dirt in the building Galbraith, seeretary-treasurer, and Dr. project. Kenneth Gross, executive committeeman. A prominent Tacoma banking official, Mrs. Margaret Miller resigned in the Gershom C. Rowland, is the new presi­ early part of November as Purchasing dent of Mary Bridge's board of trustees. He Agent, due to ill health. She has been in succeeds Attorney Leo Teats, who has the Purchasing office for approximately lo served with distinction since the hospital’s years. Her position has been filled by Mr. founding. Hugh R. Owens. Other officers for the new year are Dr. A typing pool has been organized under Charles E. Kemp, vice president; Mrs. the direction of Mrs. Lillian Ujick, secre­ Stanley Staatz, secretary; Leo Teats, tary to the administrator. Personnel in the treasurer. pool are Mrs. Betty Rando and Miss Gail The executive committee is composed of Jurgensen. As the typing pool expands its Randolph E. Green, Mrs. Harry L. Davis activities, more and more of the secretarial and Ralph Teats. Mrs. W. D. Lyness, Dr. and stenographic work in the hospital will W. D. Zimmerman and Curtiss Hill are be clone by this group. serving on the nominating committee dur­ ing 196]. Mrs. Josephine Juberg, Personnel Direc­ Full accreditation for three years has tor, and her husband, who works For Case been accorded Mary Bridge Children’s Implement Company in Puyallup, recently Hospital by the Joint Commission on Ac­ visited Hawaii on a two-week vacation creditation of Hospitals. trip. The trip was sponsored by the Case "The Capsule"—that's the name of Mary Company which held a convention in Bridge’s brief, information-packed news­ Honolulu. letter which is being published for all em­ ployees, officials of the Tacoma Orthopedic Association, and many hospital friends.

“PATRONIZE OUR ADVERTISERS” ( Continued on Page 27) 2 6 BU LLETIN of the P i e r c e C o u n t y M e d i c a l S o c i e t y

Spacious, beautiful memorial chapel Choice of cemetery, mausoleum, cremation or columbarium

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Dealers for— HAMILTON OFFICE EQUIPMENT LIEBEL-FLARSHEIM DIATHERMY AND ELECTROSURGICAL EQUIPMENT C. R. BARD UROLOGICAL INSTRUMENTS BURDICK PHYSIO-THERAPY EQUIPMENT CAMBRIDGE ELECTROCARDIOGRAPHS WILMOT CASTLE STERILIZERS AND LIGHTS SKLAR, HASLAM AND LAWTON SURGICAL INSTRUMENTS BULLETIN o f th e Pierce County M edical Society 27

plaque as the winner of the Christmas Good Samaritan decorating contest. With the resignation of Mrs. Henrietta The next maternity tea and open house Button as Director, various parties in her will take place on January 11, 1961. Ex­ honor have taken place during the Yule- pectant mothers are invited to attend in tide season. Mrs. Button is leaving after the afternoon at 1:30 p.m. and both pros­ three ancl one-half years of re-organization pective parents are welcome at 7:00 p.m. of the Good Samaritan Hospital, during for an identical evening session. which time it has developed into a com­ pletely modern facility, having received Among new equipment items purchased full Joint Commission accreditation in during 1960 are the following: Morris Clin­ 1959. Parties in her honor were that of the ical Defibrillator (Surgery), Emerson annual Medical Staff dinner where she was Pleural Suction Pump, Emerson Resuscita- presented with a gift of luggage by the tor for piped oxygen outlets also equipped president, Dr. Merrill J. Wicks. The Board with auxilliary tanks for mobile use, Aqua- of Governors of the hospital gathered in K-Pads for controlled temperature of wet the Newell Hunt home where Mrs. Button pads, Pelvic Anchor orthopedic equipment was guest of honor. Personnel of the hos­ for the operating tables, new traction pital also surprised Mrs. Button with a equipment, a polaroid camera with over­ party in the hospital cafeteria where a head frame for photographing new born number of gifts were presented. infants in nursery and miscellaneous surgi­ Dr. Vincent M. Murphy took office as cal instruments. The most recent arrived president of the Medical Staff for the year in time to be a Christmas present for sur­ 1961. Other new officers are Dr. A. W. gery—a new' Shampaine Surg-a-power Johansson, vice-president and Dr. C. O. operating table with 100£ all power Granquist, secretary-treasurer. positioning. The staff Christmas party attended by Other non-clinical equipment includes over 100 medical staff and hospital per­ several new files, office furnishings, photo sonnel, with husbands and wives, was an­ copy machine, refrigerator, time clock, other gala event of the season. Entertain­ floor polisher, hot water booster for dish­ ment was under the direction of Airs. D. water, Multilith offset printing press, etc. Bradley, pharmacist. There was group Christmas carol singing and an appearance by Santa Claus followed with refreshments. Second Floor (Surgical) was awarded a Patronize Our

Advertisers MEDICAL SPACE AVAILABLE TACOMA NORTH END New Medical-Dental Bldg.; completely equipped; on arterial street; in well pop­ ulated residential area; off-street park­ ing.. Large reception office with business office adjoining (2 ) private offices - six OVERWEIGHT? treatment rooms, laboratory, (2 ) rest 10-12 HOUR HUNGER CONTROL WITH rooms, wide hallway. LESS THAN 1% CNS STIMULATION For information, building plan, call or write Mr. Robt. Goldberg, 4320 N. 27th, Tacoma, W n , days FU 3-3484 — eve. TENUATnOSPAr SK 9-7035. 2 8 BU LLETIN of the Pierce County M edical Society

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4100 Steilacoom Boulevard JUniper 8-2195 3 0 B U LLETIN of the Pierce County M edical Society

A

Happy New Year

To E veryone BULLETIN o f th e Piebce County M edical Society 31 Poison Control Center Bone Bank Report Report For November No positive bacteriological cultures have been reported on bone received in the Bone Total Number of Calls______97 Bank since institution of the new method Calls for parents or other lay persons SO of immediately placing bone removed from Physicians or Hospitals ...... 17 the patient into a closed glass jar with 10 ml. of saline and sending it to the Bone Age Distribution Bank in a second sterile jar. The contrast Less than 12 months______2 of this record with the previous points out 1 to 3 y ea rs ___ 44 that any bone stored open in the operating 3 to 5 years ______...21 5 to 21 years ______7 room or loosely folded in a towel has a Over 21 years _____ 10 much greater chance of contamination than No age given ...... 13 that which is put immediately into a jar and covered. Substance Taken For this reason, we of the Bone Bank 1 Medicinal Substances: Aspirin gr. 1, Committee feel that all specimens taken for Aspirin gr. lV t 2, Aspirin gr. IVz 1, Aspirin storage in the Bone Bank should be > gr. 5 5, Bufferin 1, Alcohol, Vicks Cough Syrup 3, Senoket Powder, Sparine 50 mgm., handled in the closed manner. This in­ Rauwolfia, Mulvidren, Gentian Violet Pin cludes bone (cranial flaps) from the skull i Worm Pills 2, Ex-Lax, Thumb Repellant, which are taken in neurosurgical proced­ r Liquid Vitamins, Soma, Blue Jay Corn ures. We have received a few of these at Remover, Chloral Hydrate, Merthiolate, the Bone Bone submitted in nothing more Boric Solution, Desoxyn Tablets 2, Thyroid than a sterile towel. We feel that if the gr. 1, Mercurochrome, Cortisone Ear I Drops, Wyeth Suppository, Heat Lina- Bone Bank is to be held responsible for ’ ment, Dexamyl Spansules, Turns, Listerine the sterility in holding this bone, it should > Mouth Wash, Bonamine, Vicks Vapo Rub, be processed in the same manner as any ■ Pencillin V, Tr. Benzoin, Cold Tablets, other bone which we handle, that is, in a Poly-Vi-Sol Capsules, Unknown Medica­ large glass jar. Here, arrangements may tion. have to be made on the spur of the mo­ Other Substances: W right’s Liquid Sil­ ment, such as getting a large mayonnaise ver Cream, Ammonia 4, Cigarettes 2, Moth­ jar from the kitchen and having it thor­ ball, Mrs. Stewarts Bluing, Breck Sham­ oughly cleaned and sterilized in order to poo 2, Madronna Berries, Lubophite, Mys­ contain the bone. tic Cleaner, Purex 2, Vel Detergent, D’Con Other tissue which is taken for storage Rat Poison 2, TV Picture Tube, Testors in the Bone Bank such as fascia or cartil­ Enamel Paint, Liquid Ivory Soap, Un­ age should be handled in the same manner known Pellet, Spot Remover, Lano White as bone, that is, placed in an inner sterile Shoe Polish, Paint Thinner, Esquire Scuff jar from the Bone Bank with 10 ml. of Coat - Black, Toilet Bowl Deodorizer, Rev- saline, and then in turn placed in a second , Ion Top Brass Hair Lotion, O’Cedar Furni- sterile jar to contain both the bone and its ! ture Polish, White Chalk, All Purpose Fur­ initial glass container. Cultures will be niture Polish, Mickey Mouse Water Colors, taken at the Bone Bank. Toadstools, Thallium Rat Poison, Night­ shade Berries, Wizard Wick, Lighter Fluid, If bone or tissue which is taken is to be Paint Remover, Mercury, Pinesol, Dunhill saved for a certain specific individual, this Deniclean ( Pipe Cleaner), Comet Cleanser, information should come with the speci­ i Battery Solution, Little Lulu Perfume, Avon men with the name of the donor, the pa­ ' Cologne, Lentheric Cologne, Hollyberries. tient for whom it is saved, and the doctor Number advised to go to Hospital 15 who removed the specimen. The fee for Number advised to contact private M.D. 45 such service will of course be paid by the *■ Number advised emetics and observe.. 72 patient for whom the bone is to be saved. | Number treated in ER (MVGH)...... 13 —Dumont S. Staatz, M.D., Chairman f Number hospitalized at MVGH______1 ^Information from Clinical Toxicology 91 Bone Bank Committee. Pierce County Medical Society BULK RATE Medical Arts Building Tacoma 2, Washington U. S. POSTAGE PAID TACOMA, WASH. PERMIT No. 300

MONTHLY MEETINGS STAFF OF DOCTORS HOSPITAL OF TACOMA Second Monday of March, June, Sept., Dec.—7:30 p.m. Auditorium of Medical Arts Bldg. STAFF OF GOOD SAMARITAN Second Monday of March, June, Sept., Dec.—6:30 p.m. STAFF OF NORTHERN PACIFIC Second Monday of each month—noon. STAFF OF ST. JOSEPH'S Third Monday of March, June, Sept., Dec.—6:15 p.m. STAFF OF MOUNTAIN VIEW GENERAL HOSPITAL Last Monday of February, June, September and November TACOMA ACADEMY OF PSYCHIATRISTS and NEUROLOGISTS First Tuesday of each month—8:30 p.m. Board Room of Pierce County Medical Society PIERCE COUNTY MEDICAL SOCIETY Second Tuesday of the month except June, July & August — 8:15 p.m. STAFF OF TACOMA GENERAL First Tuesday of March, June, Sept., Dec 6:30 p.m. TACOMA SURGICAL CLUB Third Tuesday of each month—6:30 p.m. at Tacoma Club TACOMA ACADEMY OF INTERNAL MEDICINE Fourth Tuesday of each month—6 p.m. at Tacoma Club TACOMA ACADEMY OF GENERAL PRACTICE Fourth Monday of each month except June. July & August —6:30 p.m. at Honan's PIERCE COUNTY PEDIATRIC SOCIETY First Friday of each month except June, July and August STAFF OF MEDICAL ARTS HOSPITAL Third Friday of March, June, Sept., Dec.—7:15 a.m. at luanr Y a STAFF OF MARY BRIDGE CHILDREN'S HOSPITAL Fourth Friday of March, June, Sept., Dec 12:15 p.m. BULLETIN. PIERCE COUNTY MEDICAL SOCIETY 2______BU LLETIN of the PnsacB C o u n t y M e d i c a l S o c i e t y Pierce County Medical Society

1961

OFFICERS P resident— ...... Chris C. Reynolds President-Elect ______G. Marshall Whitacre Hap-py birth - day to you, Vice-President—______Robert M. Ferguson Secretary-Treasurer ...... Arnold J. Herrmann Executive Secretary______Judy Gordon

TRUSTEES Glenn H. Brokaw Chris C. Reynolds Happy Birthday Dale D. Doherty Cyril B. Ritchie Robert M. Ferguson Frederick J. Schwind Arnold J. Herrmann John M. Shaw February George S. Kittredge Stanley W. Tuell Robert W. Osborne G. Marshall Whitacre D E L E G A T E S 1 CHARLES B. ARNOLD Douglas P. Buttorff George S. Kittredge Arnold J. Herrmann Stanley W. Tuell Herman S. Judd Wayne W. Zimmerman 2 ARTHUR P. WICKSTROM ALTERNATE DELEGATES Charles R. Bogue Robert W. Florence Glenn H. Brokaw' Glenn G. McBride 3 WILLIAM P. HAUSER Robert M. Ferguson Frederick J. Schwind

COMMITTEES 6 HERBERT C. KENNEDY E th ics Miles Parrott, Chairman Haskel L. Maier William H. Goering ALFRED L. SCHULTZ G rievance Cyril B. Ritchie, Chairman DON G. WILLARD J. W. Bowen, Jr. Herman S. Judd Program Robert C. Johnson, Chairman 15 PAUL E. BONDO Robert A. O’Connell Buel L. Sever L ibrary S. Robert Lantiere, Chairman THOMAS R. WEST J. Edmund Deming Haskel L. Maier Dudley W. Houtz John F. Steele Public Health 16 JOHN J. BONICA Max S. Thomas, Chairman Public Relations Robert M. Ferguson, Chairman SC O T T S. JO N E S Kenneth E. Gross John M. Shaw Arnold J. Herrmann George A. Tanbara Arthur P. Wickstrom 20 G E O R G E A. D E LA N EY House and Attendance William E. Avery, Chairman Eugene Hanson Haskel L. Maier Civil Disaster 22 CHARLES J. GALBRAITH David T. Hellyer, Chairman Richard B. Link T. R. Haley John M. Shaw Leo F. Sulkosky 23 PHILIP C. KYLE D iabetes Edwin J. Fairbourn, Chairman Frank W. Hennings John S. May FRANK J. RIGOS Entertainment Samuel E. Adams, Chairman L. S. Durkin Robert M. Ferguson 24 JAMES E. HAZELRIGG Robert A. Kallsen Geriatrics John F. Comfort, Chairman 25 GEORGE H. SMITH William P. Hauser William McPhee Leonard Morley Legislative Wayne W. Zimmerman, Chairman Douglas P. Buttorff Charles C. Reberger John M. Shaw Medical Education Elmer W. Walilberg, Chairman Glenn H. Brokaw Clinton A. Piper Schools R. A. Norton, Chairman Theodore Apa George S. Kittredge OVERWEIGHT? Orvis A. Harrelson Jack W. Mandeville George A. Tanbara 10-12 HOUR HUNGER CONTROL WITH Traffic and Safety Albert Ehrlich, Chairman LESS THAN 1% CNS STIMULATION Mental Health William H. Todd, Chairman James W. Boudvvin Hugo Van Dooren TENUATE'DOSPAN* Bulletin Staff E d itor—...... Charles C. Reberger Business Manager ...... Judy Gordon Auxiliary News Editor ...... Mrs. Herman S. Judd the choice--by acclamation! for ringworm therapy

In the less than 2 years since griseofulvin—first orally effective antifungal antibiotic —was introduced, over 250 leading investigators have published over 150 clinical reports and reviews in 20 countries concerning results in over 4 ,5 0 0 patients with dermatomycoses. Almost all of the patients benefited from griseofulvin.

Dll

(f>0; G o ld b « r|.;. H . (

risc o lu v ii

U il4 , 1960. (152) Wrong, N. M.: Canad. M .AJ. 80:656, 1959. (153) Wrong, N. M.. and Rogers, S.: A.M.A. Arch. Dermal. 81:770, 1960. (154 9.t Cftft&d. M .AJ. 81:167, 1959. (155) Yonlcf, R.i J. M. Soc. New Jersey 56:738, 1959. (156) 2lnzlus, J.i D«utsches med. J. 11:121, I960. BU LLETIN of the Pierce County M edical Society

REGULAR MEETING

PIERCE COUNTY MEDICAL SOCIETY

Tuesday, February 14

MEETING . . . 8:15 P.M.

MEDICAL ARTS BUILDING AUDITORIUM

PROGRAM

'MEDICAL EDUCATION-PRESENT PROBLEMS AND FUTURE POSSIBILITIES”

GEORGE N. AAGAARD, M.D.

Dean, University of Washington School of Medicine

A no-host social hour and dinner will precede the meeting Social Hour: 6:00 Dinner: 6:45 Place: Honan’s Restaurant 739x/2 St. Helens BULLETIN o f th e Fierce County M edical Society 5

He. found retirement left him only h alf-free for travel — his investments still demanded care and worry. Now he’s on his way, worry-free . . . because here at home there’s a trust at work, giving his investments the experienced management they need. It is a trust lie can alter or add to, anytime; it can continue for the benefit of his wife should anything happen to him. When managing investments keeps you from hard-earned leisure, it’s time for a talk with our trust officer. 6 BU LLETIN of the Pierce County M edical Society

February Calendar of Meetings

MONDAY TUESDAY WEDNESDAY THURSDAYFRIDAY

1 2 3

C.P.C. of T.G. Pierce County Hosp.— 8:30 a.m. Pediatric Society

6 7 8 9 10

Tac. Acad, of C.P.C. of T.G. Psych. & Neurol. H osjj.— 8:30 a.m. 8 :3 0 p.m.

13 14 15 16 17

PIER C E COUNTY C.P.C. of T.G. P.C.M.B. Board of M EDICAL Hosp.— 8:30 a.m. Trustees— 8 p.m. SO CIETY 8:1 5 P.M.

20 21 22 23 24

Tacoma Surgical C.P.C. of T.G. Chib— 6 :3 0 p.m. Hosp.— 8:30 a.m.

27 28 Tac. Academy of Gen. Practice Tacoma Academy 6 :.30 p.m. of Internal Medicine Staff of Mt. View 6:00 p.m. General Hospital

EVERY DROP PURE HEAT "Glasses as your eye /stB d\ STANDARD physician prescribes them" \HIAriNG OHS) Heating Oils Contact Lensps — Artificial Eyes

Call MA. 7-3171 Columbian Optical Co. Fuel Oil Service Co. Ground Floor, Medical Arts Bldg. 816 A St., Tacoma Medical Center Mark Dolliver Jack Galbraith Western Clinic Bldg.

8 BU LLETIN of the Fierce County M edical Society

EDITORIALLY SPEAKING

Of Nyms and Pseudonyms

The recent conclave of the Washington State Society of the American Medical Technologists in the auditorium of the Pierce County Medical Society was covered by the Tacoma News Tribune with a photograph of the presenta­ tion of the award “Diplomate in Bacteriology” to Professor C. E. Martin of the Oregon Technical Institute. This vocational type school is oddly supported by the Oregon State Division of Higher Education along with an AMA approved school at the University of Oregon Medical School, but it is not, and apparently does not care to be, recognized by the American Medical Association. It gives a certificate showing that the student has completed a medical laboratory course but this course falls short of the standards which we, as members of the American Medical Association, have written down as minimum.

Since our Medical Society has furnished a meeting place to the A.M.T., it might be worth a moment to find out what the American Medical Association considers to be a “Diplomate in Bacteriology” and what the difference is between the American Society of Medical Technologists and the Society of American Medical Technologists.

One certificate recognized by the AMA is that in microbiology, available to any physician who either holds already a certificate in clinical pathology and has spent two additional years in supervised training or else has completed five years of training in the special field with internship being acceptable as a substitute for one of these years. Such a fellow, after he has passed his examina­ tion, is a “Diplomate in Microbiology” of the American Board of Pathology.

Another certificate recognized by the AMA is registration in bacteriology available to a registered Medical Technologist, M.T.(ASCP) upon further study and passing of the examination or to an individual who meets the alternate requirements (Masters Degree or Doctorate) of specialty certification by the Board of Registry and who can pass the examination. The course of training is supervised by the Council on Medical Education and Hospitals of the American Medical Association and the American Society of Clinical Pathologists. The Board of Registry of Medical Technologists and the Board of Schools of Medical Technology are joined with the American Medical Association and do not represent any self-beknighted group.

Aside from these two certificates, one for physicians and the other for registered medical technologists, the term diplomate in bacteriology has no status in a medical discussion. Through the eyes of our own AMA, the certifica­ tion by the American Medical Technologists should be looked upon in the nature of an honorary certification as a Citizen of Texas or Kentucky Colonel.

To clarify the situation, there is active a group known as the American Society of Medical Technologists, a society composed of registered medical BULLETIN o f th e Pierce County M edical Society 9 technologists—the kind who have bothered to take the kind of training pre­ scribed by the Board of Schools and the examination prescribed by the Board of Registry and the Council on Medical Education and Hospitals of the American Medical Association. These are our people and they display after their names: M.T.,(ASCP). But tagging along and doing quite well for itself is another group which, obviously for the sake of “clarity” of thought, calls itself the Society of American Medical Technologists. This group is interested in improving their “status” by confusing imitation of titles and certificates, by working for State licensure to provide them with a status independent of organized medicine and by- identification with the medical profession. This they are doing by collecting and using a few members who have already attained some local recognition and respect of physicians but who did not have to be bolstered up by misleading titles to gain this position and by using as its meeting places the meeting room of medical societies. This group is composed of people who either are unable to meet the requirements of our Board of Registry or who are unwilling to uphold the Code of Ethics which “shall be consistent with the Code of Ethics of the American Medical Association”. They make their own rules, they are not our own people and although they once displayed after their names, A.M.T., they now write simply, M.T.

Unlike Still and his immediate disciples, they do not represent any special cult other than for their insistence that medical laboratory technicians do not need a physician’s supervision, but, like earlier day osteopaths, they are making a very real effort to “enter orthodox medicine”, as Fishbein said, “through the back door.” A comparative look at current requirements for registration of each organi­ zation is in order.

American Medical Technologists:

REQUIREMENTS FOR REGISTRATION AS A MEDICAL TECHNOLOGIST

1. Applicant shall be a citizen of the United States, Canada, or Pan- American, and of good moral character.

2. Applicant shall be a graduate of an approved High School or equivalent.

•3. (a) Applicant shall be a graduate of a course in Medical Technology wherein the curriculum is acceptable to the Board of Examiners, or:

(b) Applicant shall have had not less than three (3) years experience in a clinical laboratory under proper qualified supervision.

4. Applicant shall obtain a grade of not less than 70% in an examination conduct by the Examining Board of this organization.

Continued 1 0 BU LLETIN of the Pierce County M edical Society

REGISTRATION WITHOUT EXAMINATION

This is available to:

1. A duly licensed practitioner of the healing arts. 2. An applicant holding a valid license as a Clinical Laboratory Director or as a Medical Technologist, or its equivalent issued by a Board of Examiners duly constituted by law. 3. An applicant holding a valid certificate issued by a Basic Science Board duly established by law. 4. A duly certified Diplomate of the American Board of Bio-Analysts. 5. A Fellow in good standing in the American College of Medical Technologists. 6. An applicant holding a valid U. S. Government Civil Service Rating as Medical Technologists GS 6 or higher rating thereof. 7. A duly commissioned laboratory Officer of die Medical or Hospital Service of one of the Armed Forces of the United States of America. S. A duly commissioned Public Health Officer by the U. S. Public Health Service.

Registry of Medical Technologists:

REQUIREMENTS FOR REGISTRATION AS A MEDICAL TECHNOLOGIST (ASCP)

1. Graduate of accredited high school or equivalent.

2. Two years (60 semester hours) and, after January 1, 1962, three years (90 semester hours), of college work in any college or university accredited by a recognized standardizing association. The following courses must be taken: Biology, 12 semester hours; and Chemistry, one full year of inorganic and at least 3 semester hours of quantitative analysis, organic chemistry or biochemistry.

3. One full year of instruction in a school of medical technology approved by the Council on Medical Education and Hospitals of the American Medical Association. (Tacoma General and St. Joseph’s Hospitals have such schools.)

4. Pass the examination prescribed by the Board of Registry.

REGISTRATION WITHOUT EXAMINATION

1. There is no such category. Everyone has to take the test.

From June 11 through June 16, 1961, the American Society of Medical Technologists (our group — yours and mine) will hold their 29th Annual National Meeting in Seattle, Washington. This is a fine opportunity to check up on just what our technologists are doing and also to hear some worthwhile papers.

— Ed. BULLETIN o f th e Ptttrce County M edical Society 11

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any radiological society or group. Further, Whoops! Hold it is the opinion of the College: Everything . . . 1. That sufficient opportunities exist in the meetings of county, state, regional and Oil Page 14 of the January, 1961 Bulletin, national medical societies for the pres­ entation of worthwhile papers and ex­ your editor and your executive secretary hibits in the field of radiology. inserted, with bland disregard for its sig­ nificance, an announcement titled “ASCR 2. That sufficient special and general medical journals now exist for the publi­ is Accepting Applications.” Your editor and cation of meritorious medical and sci­ your executive secretary herewith submit entific communications in the field of their apologies and, thanks to Dr. Gross, radiology. the following explanation of the matter 3. That the use of the term, radiology, in taken from the January, 1961, American the title of an organization may unfor­ College of Radiology Bulletin. tunately cause those not informed to identify this group as being composed New Society Announced by California; of physicians who have been examined ACR Issues Informational Statement and certified to be competent in radi­ ology by a recognized medical specialty '‘A number of medical journal editors as board. well as College members have inquired of the College office about recent announce­ 4. That medical journals and their spon­ ments concerning the “American Society of soring medical societies would be well Diagnostic Radiology,” and “The American advised to obtain full details concern­ Society of Clinical Radiology,” apparently ing the American Society of Clinical both under the organizational impetus of a Radiology before soliciting reader-mem- Dr. Louis Shattuck Baer, Burlingame, Cal. bers on behalf of Doctor Baer.” In response to requests for information, the College has prepared the statement below Footnote: Foi' some time your Bulletin and has distributed it among editors of has carried sundry data about licensing medical journals and bulletins. teams, the increasingly troublesome prob­ lems in hospital accreditation and the crises “Several months ago, the American Col­ arising from our nation-wide lack of atten­ lege of Radiology received inquires from tion to our own medical societies. This many editors of state and other medical month is featured the problem of an un­ society journals relative to the American recognized paramedical organization imi­ Society of Diagnostic Radiology which was tating practically all of the accepted certi­ then being promoted by Dr. Louis Shattuck ficates and titles but none of the require­ Baer, a California internist. Correspondence ments of one of our own established para­ with Doctor Baer revealed that the society medical groups. had no Constitution, Bylaws or officers. The Our only defense against the efforts of aims of the society were variously described non-physicians and stray sheep, who want in different communications. to steer us and tell us what to do, is in our “More recently, the College has received medical societies. Give us a few more inquiries relative to the American Society American Societies, Colleges and Acad­ of Clinical Radiology, also being promoted emies and we can forget there ever was a by Dr. Louis Shattuck Baer. The College local county medical society — or private takes this means of notifying you that this practicing physician. organization has no known connection with —The Editor. BULLETIN o f th e Pierce County M edical Society 1 5

BULLETIN o f th e Pierce County M edical Society 17 HOSPITALS. . .

St. Joseph’s Betty Anderson will be married this month and is planning on making her fu­ We would like to congratulate the fol­ ture home in New York. The past few years lowing Doctors on their election to the Betty has been attending UPS and working Executive Staff for the year 1961-62: part-time here in Surgery. President Thomas Smeal, M.D. Two new nurses have been added to the President-Elect______Stanley Tuell, M.D. Pediatric staff by was of passing their State Vice-President______Walter Sobba, M.D. Board Examinations. Congratulations go to Miss H. Rithaller and Miss B. Zinski. Secretary-Treasurer___ John Comfort, M.D. Chairman, Credentials The remodeling of the delivery suite is Committee Wayne Zimmerman, M.D. near completion just a few more details to Members at Large— lie added, however, it has been in use since early December. Robert O’Connell, M.D. Myron Bass, M.D. Prenatal classes for both parents will again be resumed on the third Tuesday of There hasn’t been much news from Sur­ every month. The next class is scheduled gery so we are making up for it this month. for February 21 to be followed as usual by Heading the list we extend congratulations a social hour. to two brand new R.N.’s who have joined our staff: Miss Jacqueline Blakely, 1960 graduate of St. Joseph’s and Miss Rosemary Brascher who graduated this year from De- Tacoma General Paul School of Nursing in Norfolk, Va. Kenneth Davis has joined the pharmacy staff at the hospital. He comes to us from New lights are being installed in Surgery Bremerton. At the present time he is still I along with lowered ceiling to provide living there, but hopes to move to Tacoma better lighting. This is the first room to be in the near future. He replaces Earl Acker improved upon and although the plaster who left to take over his father’s drugstore odors sometimes get the better of us, we on 26th and Proctor. manage to survive and look forward to com­ pletion of the job. A new typing pool has been organized with Mrs. Lillian Ujick in charge. Mrs. One special past event here in O.R. was Betty- Rando and Miss Gail Jurgenson arc the T.V. appearance of our Mrs. Raminsky the typists who are helping with all the on “This Is Your Life”. She flew to Los many jobs that must be done in the area Angeles for a wonderful week of fun and of typing and taking dictation. The office surprises, where she appeared on the show, for the typing pool is located on the second with Ralph Edwards, to relate a true exper- floor of the Annex Building. inece out of the life of Bill Butler, park ranger of Longmire. Mrs. Raminsky had The laundry has been moved to the many tales to tell about her exciting trip. basement of the garage across the street from the hospital. This was accomplished The National AORN convention will be in about a week’s time. This move was held February 12-16 in San Francisco. Sis­ made necessary because construction of the ter Joseph Margaret and Miss Mary Ann new wing is going to take place in the area Hondel are attending from our hospital. where the laundry used to be. The hospital IS BU LLETIN o f the Pierce County M edical Society purchased a warehouse tractor from gov­ Good Samaritan ernment surplus and converted it into a truck, so that it could be used to haul linen In order to better facilitate the admission back and forth to the hospital. So far it of both in-patients and out-patients, plans has picked up several nicknames, such as, are now complete to centralize this func­ “T. G. Goose,” “The Green Hornet,” “The tion in one location. The new position of Mule” and others. Since it is painted a patient admissions clerk has been created bright green, it might be that the title of as a result of this change. Also new, will be “Green Hornet” might stick. multi-copy (snap out) admission sets which have been designed to reduce duplication Miss Lucille Larson, Chief Technologist, of typing, thus speeding up the admission will spend the first part of February in process. Houston, Texas attending a meeting of the Joint ASCP-ASMT Medical Technology Patient opinion polls were introduced at Committee. This Committee of eight mem­ Good Samaritan recently and have already bers serves as a mechanism for general dis­ provided various departments with useful cussion of problems of mutual concern to information. The same opinionnaires are pathologists and technologists. While there, being used in other Western hospitals she will also meet with the Executive Board which provides each participant hospital of the American Society of Medical Tech­ with some base for comparison. Completed nologists to review final plans for the 29th opinionnaires are key punched, tabulated, Annual Convention of this organization calculated, summarized and charted, using which will be held in Seattle June 11-16, IBM equipment. 1961. Between 1200-1500 Medical Tech­ A cursory review of the results indicates, nologists from 50 affiliate State Societies generally, a high level of patient satisfac­ will attend this six-dav meeting. Miss Lar­ tion with various services of the hospital. It son is the general chairman. is felt this process will pinpoint areas where further effort would continue to improve the hospitals services. It will also help pro­ MEDICAL SPACES FOR RENT vide a concrete basis for discussion with IN LAKEWOOD both medical and nursing staffs. Two brand-new medical suites in new At a later date, it is anticipated that hos­ building in Lakewood Professional pital personnel and medical staff will be Village, suitable for part-time, full similarly polled and these results correlated time, single or shared occupancy. Only with those being received from patients. one block from Lakewood Hospital. Contact: Margaret Smith, Building No. 2, Lakewood Professional Village, 5920 Lake Steilacoom Ave. Phone JU S-5600. Or Les Fagg, 9227 No. Lake Dr. S.W., Tacoma 99. JU 8-3950. BEALL’S

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AUXILIARY OFFICERS—1960-61 Game Night Canceled President ...... Mrs. J. Robert Brooke President-elect ...... Mrs. Kenneth E. Gross Because of the activities concerning the 1st Vice-President...... Mrs. M. E. Lawrence Mid-Year Conference, the Game Night, 2nd Vice-President ______Mrs. Robert C. Johnson 3rd Vice-President ...... Mrs. Dudley Houtz planned for February, has been canceled. 4th Vice-President ...... Mrs. Carl O. Granquist It has been recommended by the Board that Recording Secretary______Mrs. Orvis A. Harrelson we compile a Recipe Book as a money Corresponding Secretary ...... „ Mrs. Charles M. McGill Treasurer...... Mrs. Haskel Maier making project and the suggestion was Assistant Treasu rer ______Mrs. Glenn H. Brokaw received enthusiastically by the members COMMITTEE CHAIRMEN who attended our January meeting. Ruth American Medical Education Foundation------Mrs. Robert C. Johnson Murphy has agreed to be in charge of this National B u lletin ...... Mrs. Dudley Houtz new venture and will start making plans Civil D efense______Mrs. Arthur P. Wickstrom Historian— ...... —...... Mrs. Fay Nace when she and Tom return from their vaca­ Legislative ...... Mrs. Don Willard tion in April. They leave on the 5th of Feb­ Membership.- ...... Mrs. Glenn H. Brokaw and Mrs. Galen Hoover ruary for Palm Desert for six weeks. Bring Nurse Recruitment...... _.Mrs. Edward S. Eylander the sun back, Ruth! Paramedical______Mrs. Wayne Zimmerman Program______Mrs. Herbert C. Kennedy Publicity— Delores and John Havlina flew to Mexico Newspaper ...... Mrs. Robert R. Burt last month and are relaxing on the Acapulco Bulletin ...... Mrs. Herman S. Tudd Revisions-...... —______Mrs. Dale D. Doherty beaches. Ken and Keaty Gross are taking Safety ...... Mrs. Jack Mandeville their two oldest children with them when Social ...... Mrs. G. M. Whitacre they leave for Sun Valley this month. Speakers B u reau ______Mrs. Philip Grenley Telephone------Mrs. Richard B. Link Today’s H ealth ...... — ...... Mrs. M. E. Lawrencc Faith H ome Minute W om en ...... Mrs. Hillis F. Griffin Community Service ...... Mrs. Jess Read Heart------„ ------Mrs. Edward R. Anderson Mary Steele, our representative on the Community Council ...... Mrs. John F. Steele Faith Home Board, reports that the build­ Finance— ...... Mrs. Joseph B. Harris Dance ...... Mrs. Robert W. Florenceing will be ready for occupancy by March Fashion Show______Mrs. Thomas B. Murphy 1 and that both physical and monetary help Game Night...... Mrs. Dudley Houtz Midyear C onference ...... Mrs. Joseph B. Harris are needed. Since the project cannot re­ ceive UGN help for the first year, we have voted to them a gift of $100 to help them Mrs. Wendell G. Peterson will open her at this time. home at 624 No. Yakima for our February We were all grieved to learn of the pass­ meeting to be held at 12 o’clock on the ing of a loyal and helpful member of the 17th. Kay Herrmann and Bart Huff are co- auxiliary, Ethel Ehrlich, and our sympathy chairmen for the luncheon, with Ruth is extended to the family. W e will miss her. Sames, Helen Florence, Florence Rigos, Margaret Larson, Kay Willard and Jean State Auxiliary Meeting Gibson assisting. Mrs. George R. Kingston of Wenatchee, our State President, and The Mid-Year Meeting of the Washing­ Mrs. Donald Evans of Seattle, President­ ton State Medical Auxiliary will be held elect, will be guests at this meeting and at the Doric Motor Hotel on March S and 9. won’t we be pleased to announce that we Margaret Harris is in charge of the ar­ have 193 paid-up members, as of the middle rangements and hopes that we will all at­ of January! We hope that we will really tend and welcome the members who will turn out for this meeting to welcome our be arriving from all parts of Washington. State officers. Dorothy Maier is in charge of tickets, Dot- 2 0 BU LLETIN o f the Pierce County M edical Society tie Reed will handle the registration, as­ awesome regard for these faraway places sisted by Miriam Doherty, Kay Willard and until this summer when our family had Jeanne Judd. Helen Florence, Gladys Han­ the wonderful experience of visiting them son, Hilda Lantiere, Florence Duerfeldt, and a host of other, lesser-known but inter­ and Muriel Nelson will serve as hostesses. esting towns. Maybelle Miller is in charge of the dinner Our vacations are most often camping on the 8th which will be held at the Fort trips so we read all we could find on camp­ Lewis Officers’ Club. Busses from the Fort ing through Europe. Each country sent will be at the Doric at 5:45 but you must reams of information on campsites, facili­ have your ticket for the dinner purchased ties, costs and maps. They made the whole ($5.00) to board. There will be a no-host of the continent sound like a playground cocktail hour at 6:30 and dinner will be and, with the hope of finding English- served an hour later. The tables will be speaking people to help us, we were off. decorated with scarlet tulips but the com­ mittee had not thought of a descriptive title We sailed from New York on the German for the dinner at this writing. Our “Gay liner, the Bremen. During the eight days Nineties” quartet has been requested by on board we enjoyed the people, the ac­ State to provide entertainment so they have commodations and fine food. In Bremen, been working on new numbers and cos­ Germany, we picked up a VVV Kombi tumes for the affair. The Officers’ Club is a camper, ordered here, and headed for beautiful setting for the dinner and we Holland. hope that our membership will welcome Near the D utch border we saw a fine this opportunity to see the attractive cock­ field of tulips and stopped to wander tail bar and the distinctive dining room. through them. AH varieties were labeled Ruth Houtz is in charge of die luncheon and when we came to Mt. Tacoma, a lovely on Thursday, March 9, at 12:30 at the white, we bowed low' three times. W e saw Doric. She is planning to use a daffodil evidence everywhere of their love of the motif and assisting her will be Dee Wick­ land. Every available inch is used. I was strom, Helen Florence, Nadine Kennedy, struck by the sameness of the houses and Pat Hoover, Elvina Brokaw and Ella Gran- decided the Dutch housewife doesn’t want quist. Reservations for the luncheon should to be different from her neighbor but in­ be made with Margaret Harris, JU S-2324. stead strives to be just like her.

If any of you know of any unusual or Some time later, we reached Denmark interesting activity in which a member of where we stayed three weeks. We were the auxiliary is participating, please phone guests in three homes in three separate Dottie Read, JU 8-1806, and tell about it. parts of the country and what wonderful She is our Community Service Chairman hospitality! We were properly stuffed with and is afraid she will be asked to give a re­ the delicacies of a genuine smorgasbord, port with only a few days’ notice and be followed by their superb pastries. In unprepared. What are you doing now' that Sjerne we visited Dr. and Mrs. Fynboe the Inauguration is over? and while the men made the rounds, I ft ft ft joined Mrs. F. in her morning coffee (thick, black and STRONG) and cigar! Following is the account of the Race’s European trip, as we promised you last Leaving Denmark, we toured Germany m onth: for a month and found it an interesting and varied country. In Weisbaden we Rome, Paris, Vienna, Killarney . . . visited friends who took us to the officers’ Don’t they sound exotic, fabulous — al­ most untouchable? We, too, had the same ( Continued on page 22) BULLETIN o f th e Pierce County M edical Society 2 1

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club for dinner and of course the kids Changing of the Guard, Tower, Parliament, ordered hamburgers. We saw Hitler’s re­ and so on. We walked over the St. Andrews treat near Berchtesgarden, later went golf course and wished to play but found through the Dachau concentration camp. the waiting lists for tee-off time too long. Running the gamut of human emotions, We had only a few days in Ireland, a beau­ soon after this we saw the Passion Play in tiful, green country full of charming Oberammergau. It was long, but impres­ people who have all kissed the Blarney sive and the singing wonderful. We spent Stone, as we did, of course. Here, as in two days in Heidelberg, guided by a Ger­ nearly every country, we saw many fine man student we met in Munich. In the ancient churches and castles, museums and student cafeteria we had lunch—soup, ruins. We were sorry we hadn’t recently potatoes, meat, bread and coffee—for a taken a course in history. quarter. Most expensive meal served! Be­ Paris and its beauty we tried to absorb cause the room was crowded, we took seats in a week’s time. Again, were were typical wherever we could find them. Jim and I tourists and sped from the Eifel Tower to sat at a table occupied by four handsome Napoleon’s tomb, a day in the Louvre, and young men whose language was one I so on. South to Lourdes and the wonderful hadn’t heard. I made motions which meant open display of faith shown by those who please pass the salt and one of them come to ask the Virgin’s help. Another answered me in perfect English. How did short trip—this time into Spain—just long they know7 we were Americans? By our enough for a bullfight and to wish we had clothes—skirt, blouse, sweater! This re­ a month instead of a week. mark was made several times though I couldn’t see how we looked different from During the month following the visit to most of the local people. Jess wears a Barcelona we crossed the south of France. crewcut and this is definitely different. He Saw Monaco and Monte Carlo, made cog- became tired of having his head rubbed train trips to see the Matterhorn and by strange hands and the adults exclaiming Grindlewald, ancl marvel at the glorious in a language he didn’t know! Oh yes, the Alps, and on to Vienna. Here George at­ young men were Arabs. A boat trip on the tended the International College of Physi­ Rhine, briefly saw Belgium and Luxem­ cians and Surgeons. bourg and across the Channel to Dover. We stayed in the home of friends, Martha We were in the British Isles a month. and Hans Zimprick. Perhaps some of you The tourist guides forgot to mention that knew this friendly young couple while Hans they don’t quite believe in campers, so we interned at St. Joe’s and Martha worked had to find friendly farmers and use a cor­ in physical therapy. ner of a field for our temporary home. In We hurried through the north of Italy London for five days we did all the stand­ in order to be in Rome by September 2. ard tourist spots: Hyde Park, Waxworks, For five days we were a part of the cheer­ ing crowd at various Olympic Games events. And then, a fitting climax to all the wonders we had seen, an audience with Pope John. This experience is indelibly 10-12 HOUR HUNGER CONTROL WITH etched. How the Italians love their dear NO REPORTED CONTRAINDICATIONS “Papa” and the roar with which they greet him! TENUATE’ DOSPAIf I haven't mentioned the fine foods, wines and beers. We did our own cooking, buy­ ing and trying whatever the locale offered BULLETIN of the P i e r c e C o u n t y M e d i c a l S o c i e t y 2 3 but also ate in restaurants where we knew Yes, it was a summer of dreams come of some special dish — in particular the true. We are glad we’re Americans, glad snails and fish soups of France, German to be home, but hardly able to suppress the Snitzels of all kinds, Viennese and Hun­ desire to start planning another trip. garian cookery, Swiss fondue and raclet, —P e g g y R a c e the Italian dishes and pizza.

We are convinced this is the way to see Europe. A bit inconvenient at times, espe­ cially this year wliich was cool and rainy, but we met so many wonderful, friendly MEDICAL SPACE AVAILABLE people as interested in knowing about us as TACOMA NORTH END we were to know them. Our Christmas mail New Medical-Dental Bldg.; completely was so much fun. There were letters from equipped; on arterial street; in well pop­ Australia, Denmark, Scotland, England, ulated residential area; off-street park­ Austria, Germany and Italy. We were de­ ing.. Large reception office with business lighted they would think of us. office adjoining (2 ) private offices - six treatment rooms, laboratory, (2) rest We were sorry to have Sept. 15 arrive. rooms, wide hallway. We flew to New York and retraced our For information, building plan, call or route to Minnesota where our younger write Mr. Robt. Goldberg, 4320 N. 27th, children had spent the five months, and Tacoma, Wn, days FU 3-3484 — eve. finally Tacoma. SK 9-7035.

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Qhi...... mi...... mi mil'll^ BULLETIN of the Piebce County M edical Society 2 5 Letters to The Editor W ell Done Some time ago the First Presbyterian The Case of The Wrong Diagnosis Church made an appeal through this Bulle­ A certain horticulturist wrote an editor­ tin for surplus samples to be shipped to ial in which he referred to the “festering overseas missions. lily” wliich causes damage to the owner’s A number of physicians responded and flower garden (public). several loads of medications have been The horticulturist didn’t finish his re­ collected at the Medical Society office by port by stating what should be done to the Church. The great need for these sup­ control or cure the sick lily. Furthermore, plies and the sincere appreciation of the he didn’t take a complete case history. medical missionaries receiving them are ex­ pressed in the following letter which is one If he had taken a complete case history of man)- the Church has received. he would have discovered that it was the milkweed (non-professionals) that was “A month or two ago several big boxes causing festering and producing such a full of the most wonderful gifts a charity purulent odor. Nor did the horticulturist hospital could receive arrived to help us. consider that if the milkweed was pruned . . . Words cannot express the gratitude the rest of the garden might be protected that so many of us feel for the great boost. from the infection. A good number of lives have been saved with the Antibiotics wliich are either un­ In making such a hastv diagnosis, he available here or prohibitively expensive. only had time to write his initials, and by The Antihistamines have neutralized many so doing he caused ill-repute to his society’s an allergy. The tranquilizers have calmed president. many anxious patients. The analgesics have Let us remember, we still have the milk­ eased innumerable aches and pains. The weed and the odor. Hemantics and Multivitamins have put new- life in many a ‘crock’. “The Sick Lily” “One little baby in the hospital has now Editor’s Note: The above letter was survived her ‘death rattles’ with the Staclin written in the middle of the night by a you sent. One often nauseated tuberculous physical therapist but your editor thought patient literally lives on the Thorazine it was worth a space. spansules. One anemic old lady struggles from week to week on the vitamins we can It is hoped that the Society membership give to supplement her straight rice diet. knows that two CCR’s belong to the organ­ These are only a few of the many, many ization. One is a dignified, respectable type folk here who thank you and from the who tends to his own business and the depths of their hearts.” other is a cantankerous, irritating type who some people wish would tend to his own R onald S. S f.a to n , M.D. business. Anyone who disagrees with the St. Luke’s Hospital latter is welcome to write in their objec­ Vergurla, India tions. It is your Bulletin and you have a right to put your words in it, provided the So, keep this worthy project in mind words are printable. Some lively criticism and when your nurse cleans off the shelves, from Society members would improve the ask her to bring your “discards” to the Bulletin considerably. Medical Society office where they will eventually be collected and put to good use. 2 6 BU LLETIN o f the Pierce County M edical Society

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some clinicians believe that gastric lavage Annual Report of is inadvisable. With proper caution and correct technique, however, the risk of Poison Control Center aspiration is minimized, and if done promptly, lavage is probably always ad­ Deaths reported during the last year, visable after a large quantity has been 1960 are: one 16 month old child who in­ swallowed.” gested an unknown amount of O’Cedar Clinical Toxicology Furniture Polish and a two year old child Gleason, Gosselin and Hodge who ate green nightshade berries. Hydrocarbons not to be lavaged unless The following information and treatment over 4 ounccs are taken. has been recommended by die Pierce Gasoline County Poison Control Center. Naptha Petroleum ether Hydrocarbons Mineral Spirits “The only recommended treatment if Diesel Oil symptomatic and supportive. Because of Fuel Oil the danger of aspiration, emetics should Furniture Polish never be prescribed. For the same reason Kerosene Paint Thinner Treatment

Annual Meeting . . . 1. Emetics are contraindicatcd 2. Observe 2d Saturday in March 3. Lavage if over 4 ounces The immediate past president of the 4. Admit for observation if any question American College of Physicians, Dr. How­ Hydrocarbons to be lavaged if any ard P. Lewis; a prominent chest surgeon taken (must be checked FIRST with and bronchoscopist, Dr. Paul C. Samson, private physician) who teaches at Stanford; and an authority Turpentine on pulmonary physiology, Dr. Donald M. Naphthalene Pitcairn, who teaches at Portland, will be Toluene the guest speakers on March 11 at the Xylene 11th annual meeting of the Tacoma Acad­ Benzene emy of Internal Medicine. Treatment The full day meeting to be held at Jack­ son Hall will stress pulmonary disorders 1. Emetics are contraindicated and their treatment. During the morning 2. Gastric lavage (cautious) with warm several interesting and puzzling clinical tap water problems will be outlined for discussion by Clinical Toxicology the guest speakers. In the afternoon there Gleason, Gosselin and Hodge will be opportunity for round table discus­ The list of poisonous plants made up by sion as well as the more formal presenta­ Dr. Tyler, University of Washington and tions by these guests. Dr. Lewis will talk Mr. Fred Knopf, Supervisor Pierce County again in the evening. Extension Service, Puyallup, Wash., will be The registration fee of $7.50 will include sent to each physician. the evening banquet and social hour at the The Poison Control Center is only an Bayview Room of the Wintlirop Hotel. information center. It will provide informa- 28 BU LLETIN o f the Pierce County M edical Society tion only and the private physician must Number advised emetics and observe- 884 prescribe treatment. Number treated in ER (MVGH) 144 The AMA Committee on Toxicology Number hospitalized at MVGH 23 recommendations may be obtained at lc Information from Clinical Toxicology_1247 a copy for your patients by writing to the Medicines AMA, 535 No. Dearborn, Chicago 10, 111. Aspirin ______132 Total Calls ______1338 Other Medications ______313 From Doctors ______... 209 Household Products From Others ______.1129 Bleaches ______40 Age Distribution Ammonia ______11 1-12 Months ... _____ ...... 33 Detergents ______60 1-2 Y e a rs______284 Other Household Items ______44 2-3 Y e a rs______357 Petroleum Products ______150 3-4 Years ______170 Insecticides and Rodenticides______81 4-5 Y ea rs______53 5-6 Y e a rs______28 Cosmetics ______100 6-7 Y e a rs______14 Plants and Berries ...... 163 7-15 Y e a rs______44 Food ______30 Adults ____ 128 Insect Bites ______0 Unknown ______222 Miscellaneous ______163 Number advised to go to hospital 110 Calling for information only ______158 Number advised to Mothballs ______17 contact private M.D. ______. 522 Toadstools and Mushrooms ______17

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Our Traveling Trust Officer

Personal consultation with our Trust Officer See an attorney this w eek. He will give your is always available at any of our four branch family the protection of a properly drawn offices upon appointment. Our traveling and legally sound Will. The cost need not Trust Officer happily makes many trips be great. weekly from the Main Office to consult with Trust clients and with those interested in Ask your attorney about the many advan­ creating a Trust. There is no obligation. tages of naming a bank as your executor. A bank’s Trust officers provide friendly, effi­ This brings us up to the matter of Wills. cient service plus knowledge, broad experi­ They are for everyone, no matter how small ence and judgment necessary for the per­ or large the estate. If you haven’t a Will, manent preservation and growth of your you are risking the future of your family. estate. It is a simple matter lo relieve your wife of many complex legal business details in event Don’t delay . . . protect your family . . . see of your demise. an attorney this week.

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MONTHLY MEETINGS STAFF OF DOCTORS HOSPITAL OF TACOMA Second Monday of March, June, Sept., Dec.—7:30 p.m. Auditorium of Medical Arts Bldg. STAFF OF GOOD SAMARITAN Second Monday of March, June, Sept., Dec.—6:30 p.m. STAFF OF NORTHERN PACIFIC Second Monday of each month—noon. STAFF OF ST. JOSEPH'S Third Monday of March, June, Sept., Dec.—6:15 p.m. STAFF OF MOUNTAIN VIEW GENET?AL HOSPITAL Last Monday of February, June, September and November TACOMA ACADEMY OF PSYCHIATRISTS and NEUROLOGISTS First Tuesday of each month—8:30 p.m. Board Room of Pierce County Medical Society PIERCE COUNTY MEDICAL SOCIETY Second Tuesday of the month except June, July & August — 8:15 p.m. STAFF OF TACOMA GENERAL First Tuesday of March, June, Sept., Dec 6:30 p.m. TACOMA SURGICAL CLUB Third Tuesday of each month—6:30 p.m. at Tacoma Club TACOMA ACADEMY OF INTERNAL MEDICINE Fourth Tuesday of each month—6 p.m. at Tacoma Club TACOMA ACADEMY OF GENERAL PRACTICE Fourth Monday of each month except June. July & August -—6:30 p.m. at Honan's PIERCE COUNTY PEDIATRIC SOCIETY First Friday of each month except June, July and August STAFF OF MEDICAL ARTS HOSPITAL Third Friday of March, June, Sept., Dec.—7:15 a.m. al Naiir YnrlfDr STAFF OF MARY BRIDGE CHILDREN'S HOSPITAL Fourth Friday of March, June, Sept., Dec.— 12:15 p.m- T BULLETIN PIERCE COUNTY MEDICAl SOCIETY

VOL. X X XII—No. 3 TACOMA, WASH. MARCH - 1961 2______BU LLETIN of the P ierce C o u n t y M e d i c a l S o c ie t y Pierce County Medical Society C 1 9 6 1

OFFICERS President ...... _ Chris C. Reynolds President-Elect ...... G. Marshall Whitacre H a p - py birth - day to you , Vice-President ------Robert M. Ferguson Secretary-Treasurer ...... Arnold J. Herrmann Executive Secretary ...... Judy Gordon

TRUSTEES Glenn H. Brokaw Chris C. Revnolds Dale D. Doherty Cyril B. Ritchie Robert M. Ferguson Frederick J. Schwind Happy Birthday Arnold J. Herrmann Tohn M. Shaw George S. Kittredge Stanley W. Tuell Robert W. Osborne G. Marshall Whitacre M arch D E L E G A T E S Douglas P. Buttorff George S. Kittredge Arnold J. Herrmann Stanley W. Tuell" 2 ERNEST L. RANDOLPH Herman S. Judd Wayne W. Zimmerman

ALTERNATE DELEGATES Charles R. Boguc Robert W. Florence 4 LOUIS ROSENBLADT Glenn H. Brokaw Glenn G. McBride Robert M. Ferguson Frederick J. Schwind GOVNOR TEATS COMMITTEES E thics Miles Parrott, Chairman 5 HOWARD PRATT Haskel L. Maier William H. Goering G rievance Cyril B. Ritchie, Chairman 6 EDWARD McCABE J. W. Bowen, Jr. Herman S. Judd Program Robert C. Johnson, Chairman Robert A. O’Connell Buel L. Sever 9 ROSS McPHAIL L ibrary S. Robert Lantiere, Chairman DOUGLAS TAIT J. Edmund Deming Haskel L. Maier Dudley W. Houtz John F. Steele Public Health Max S. Thomas, Chairman 11 J. ED M U N D D EM IN G Public Relations Robert M. Ferguson, Chairman Kenneth E. Gross John M. Shaw 15 BRYCE BETTERIDGE Arnold J. Herrmann George A. Tanbara Arthur P. Wickstrom House and Attendance William E. Avery, Chairman 17 RUSSELL COLLEY Eugene Hanson Haskel L. Maier Civil Disaster David T. JTellvcr, Chairman IS ROBERT O'CONNELL Richard B. Link T. R. Haley John M. Shaw Leo F. Sulkosky D iabetes Edwin J. Fairboum, Chairman 20 FRANZ HOSKINS Frank W. Hennings John S. May Entertainment ALBERT SAMES Samuel E. Adams, Chairman L. S. Durkin Robert M. Ferguson Robert A. Kallsen 22 ROBERT KLEIN Geriatrics John F. Comfort, Chairman William P. Hauser William McPhee JOHN LIEWER Leonard Murley Legislative Wayne W. Zimmerman, Chairman CHARLES MARSHALL Douglas P. Buttorff Charles C. Reberger John M. Shaw Medical Education 24 ROBERT CRABILL Elmer W. Wahlberg, Chairman Glenn If. Brokaw Clinton A. Piper Schools R. A. Norton, Chairman 25 ROBERT BURT Theodore Apu George S. Kittredge Orvis A. Harrelson Jack W. Mandeville George A. Tanbara GERALD KOHL Traffic and Safety Albert Ehrlich, Chairman Mental Health 26 ROSS WRIGHT William H. Todd, Chairman James W. Boudwin Hugo Van Dooren 27 ROBERT KRAFT Bulletin Staff E d ito r______Charles C. Reberger Business Manager______Judy Gordon Auxiliary News Editor______Mrs. Herman S. Judd 31 FREDERIC PAINE without steroids this arthritic miner might still be spoon-fed

on METICORTEN, he has worked steadily for six years with no serious side effects

J. G.’s rheumatoid arthritis started in 1949 with severe and unremitting pain in his shoulders. Later, his wrists, elbows, feet and hands became involved with swelling and loss of function. By 1951, when he was 45, the patient was helpless and had to be fed and dressed by his wife. He was frequently hospitalized during the next three years. Hydrocortisone failed to make any change in his condition.

On April 2, 1955, the patient was placed on Meticorten and im­ proved promptly. Two weeks later he stated, “1 feel very well now.” He was able to go back to work as a mine electri­ cian that year and had no difficulty driving a car.

For the past six years, he has been maintained on M eticorten 5 mg. two or three times a day. There have been no side effects. The patient has not lost any work time, nor has he had to limit his activities in any way.

Case history courtesy of Joel Goldm an, M .D ., Johnstown, Pa.

These photographs of Dr. Goldm an's patient were taken on November 10,1960.

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REGULAR MEETING

PIERCE COUNTY MEDICAL SOCIETY Tuesday, March 14

MEETING . . . 8:15 P.M.

MEDICAL ARTS BUILDING AUDITORIUM

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MR. FREDERICK DEAN MR. DONALD HEBERT

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A no-host social hour and dinner will precede the meeting Social Hour: 6:00 Dinner: 6:45 Place: Honan’s Restaurant 7391/2 St. Helens BULLETIN of the Piebce County M edical Society 5

TRUST AT WORK:

Scholar dollars His father was looking ahead . . . knew that college costs were rising. So he made sure to provide for his son’s education by putting a trust to work. You can protect your children’s chance for college education noxc, with the help of our trust officer and your attorney.

MEMBER FEDERAL DEPOSIT INSURANCE CORPORATION 6 BU LLETIN o f th e Pierce County M edical Society March Calendar of Meetings

MONDAY TUESDAY WEDNESDAY THURSDAY FRIDAY

1 2 3

C.P.C. of T.G. Pierce County Hosp.— 8 :3 0 a.m. Pediatric Society

6 7 8 9 10 Tac. Acad, of Psych. & Neurol. (S:30 p.m. C.P.C. of T.G. Hosp.— 8:30 a.m. Staff of T.G. 6:30 p.m.

13 14 15 16 17 Shill of Doctor's Staff of Medical 7:30 p.m. P IER C E Arts Hospital Staff of Good COUNTY C.P.C. of T.G. 7:15 a.m. Samaritan M EDICAL Hosp.— 8 :3 0 a.m. 6:30 p.m. SO CIETY P.C.M.B. Board of Staff ofN.P. 8:15 P.M. Trustees— 8' p.m. Noon 20 21 22 23 24

Stafl of Staff of St. Joseph's Tacoma Surgical C.P.C. of T.G. Marv Bridge 6 :1 5 p.m. Chib— 6 :3 0 p.m. IIosp.— 8 :3 0 a.m. 12:15 p.m.

27 28

Pierce County Tacoma Academy ChiijrtiT A.A.G.P. of Internal 6:30 p.m. Medicine 6:00 p.m.

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GUEST EDITORIAL

After the Columbia Broadcasting System’s television show in which the private physician was left looking like a scoundrel, there were a good many tired sighs that an enfeebled profession was sinking beneath the blind vigor of the new masses. Even though some segments of physicians and their families have lapsed into the comatose contentment of their status symbols, there is still some blood left. This letter was so deftly phrased that the editor would not change a word of it. —Ed.

Program Director, C.B.S. T.V. New York, N. Y. D ear Sir: As a former hospital dietitian and now the wife of a physician, I am writing to protest the nation-wide presentation on February 2nd of the C.B.S. television program “C.B.S. Reports. The Business of Health: Medicine, Money and Politics.” My husband is in general practice. We are in our late thirties and have six children. We live in a fifty year old house which we are remodeling ourselves as we have the time and money to do so. Our home is large and not completely furnished. I do all my own work and the nearest thing to mink in this house is the teddy-bear our youngest child received for Christmas. My husband has been practicing medicine since 1951. An excess of ]0% of the care given in his office is free of charge. Fifteen to twenty percent is below the recommended foe. His professional ethics and qualifications are above reproach. His patients respect and trust him. No, we don’t have all the luxuries others might have. We do have a health)' family and an income above that of the average forty- hour a week worker. 1 can hold my head up high and take pride in my husband because he is an honest person—kind, considerate and always willing to give the best services to his patients, day or night. We watched and we listened to your program as you slowly, but surely, distorted or destroyed in the minds of millions of viewers the faith and confi­ dence those people might have had in their doctors. I can’t write about medicine, and how it is practiced in the East, but I do know how it is practiced here. My personal opinion is that the myopic C.B.S. eye saw only what it wanted to see and thereby you presented a libelous attack on the medical profession. The amount of “no charge” service given by all physicians is high. This includes general practitioners and specialists alike. You pointed out that the well-to-do are able to pay their way. The indigent are well cared for. The middle group arc the ones that you are concerned about. In your edited attack upon the medical profession no reference was made to the role of the American Physician in the care of these indigent people. These same physicians who you BULLETIN of the Pierce County M edical Society 9 so painstakingly libeled are the individuals who give so freely of their time and their skills in the care of our indigent population. Was your hour too short to point this out— or would it have reflected favorably upon the medical profession?

On your program you presented a lady who told about the treatment she received from one physician. I can’t condone the attitude of that physician, BUT every county medical society has a grievance committee. Anyone who feels they have been unjustly treated by any physician can go to this committee. The)' function honestly here. That was the proper place for her to air her problem, not before a nationwide television audience. Also, what was the doctor’s side of that problem!* Was your hour too short to explain this— or would you have lost a pathetic plea in your quest for propaganda???

Was the gentleman from Seaton Ilall a doctor in active practice? He cer­ tainly attacked his own American Medical Association, but has he offered his sendees as a delegate? Each medical society elects delegates to the State Con­ vention, which in turn elects delegates to the central policy body. Physicians have to be encouraged to run as delegates. The Seaton Hall professor would have used his talents more effectively had he volunteered his services to his State Society. He most certainly woidd have been elected and been given a golden opportunity to correct the faults that lie feels lie in the medical association.

Then, with great courage, you took a man to see his private physician. Then to a specialist— carefully noting the cost as you went. As von quoted fees and costs I asked my husband to compare them with the fees of our local medical bureau. You were very high. You also neglected to tell us what type of snrgerv cost $500. What surgery was it that required a seventeen day hospitalization period in which a $30.00 a day hospital cost was involved? You added the special duty nurses for atmosphere? Or did they bring your total cost up to where you wanted it?

This is a good place to inform you that physicians’ fees have decreased appreciably in proportion to the rise in the cost of living. Physicians services represent one of the few commodities in which the hours of work required to pay for that sendee have decreased rather than increased since 1939. Even though hospital costs have shown a marked increase (mainly due to wages) the overall medical costs in relation to the average hourly wage has decreased. At my request, my husband has spent several hours going through his records of the past nine years. NOT ONLY DOES HE NOT HAVE A SINGLE PERSON, BUT HE DOES NOT HAVE A SINGLE FAMILY WHOSE TOTAL DOCTOR’S BILLS HAVE EXCEEDED SI,000. OVER THIS ENTIRE PERIOD. This includes individuals who have had several catastrophic illnesses. The high cost of medical care is in the rising cost of hospital fees—70%' of which is labor. But your camouflage covered this fact. Instead of putting the emphasis where it should be you delighted in placing the blame on the physician. I might add that because of the improved medical care that people receive today their hospital stays are shorter than they once were and, in many cases, hospital care is no longer necessary where it once would have been essential. This high

Continued 1 0 BU LLETIN of the Pierce County M edical Society

standard of medicine in the United States was developed through private enter­ prise and not by the government of the United States. This was just one more fact von neglected to point out in vour program.

Yon then presented an edited film strip of the HIP hearings to completely discredit all hospital staffs. The standard of medical care is the responsibility of the hospital, its staff members, and its Board of Trustees. The main guar­ antee that the American public has that its quality of medical care and the ethics of its administration will remain at a high level is through supervision of its hospital staff members and care in their selection. For your neglect in presenting a truly unbiased program, should the whole television industry be turned over to complete government control?

Then you presented Senator Forand promoting medical care tied to social security. He implied that twenty-five cents a week would cover the cost of this care. And he implied it would be insurance. You know the Supreme Court has ruled this is NOT INSURANCE, but they still promote it as such. One billion, two hundred million dollars—that was the social security deficit last year. How- can this twenty-five cents a week pay for medical care when there isn t enough money to meet present social security payments—and they are raising benefits again. Who is going to pay the piper? Our Children! The physi­ cians do want medical care for everyone who needs it, however, I fail to under­ stand the reasoning of tying this to the coattail of social security when other more efficient and more economical plans have been available and have been legislated. At the recent white house conference on Aging, our Washington State Medical Society president was ruled “out of order” every time he tried to present any proposals other than the social security idea. The conference was broken down into small groups and these groups were FORBIDDEN to discuss anything that had been “ruled out of order.” This conference—like your program— was rigged!

II I may add a personal note. My own mother is 62, she has an income of $110.00 a month. She has a small savings account that she won’t touch because it's for her “old age”. She has two health plans that she pays for. She refuses help from us and is very proud of the fact that she and my father, a working man, were able to educate five children and still have saved enough to provide for her in her declining years (although government sponsored inflation may destroy her dream). When my mother is on her knees, she’s praying. She's not there with her hands stretched out to Uncle Sam. She is the vanishing American who won’t fit into this “New Frontier".

I have mentioned the Pierce County Medical Bureau. This group was the original physicians’ service contract group, set up by the physicians themselves— because they do care. It is a non-profit organization in which 93 to 95% of the subscriber’s dollars is returned to him in benefits. The remaining 5 to 7% covers the administrative costs. If you are familiar with Parkinson’s Law you well know that the government bureau middle-man will consume much more than 5% in spite of what Ribicoff may state. You could have balanced your program if you had included a small story on our Pierce Count)' Medical Bureau. Sixty

( Continued on page 1 2 ) BULLETIN o f the Pierce County M edical Socieiv II LEDERLE INTRODUCES

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thousand subscribers and their families in our area are well satisfied. For family coverage they pay $17.50 a month, no matter how many children.

My husband, I am sure, feels that it is a privilege and an honor to have gone from a neophite lumber-jack in a logging camp, through years of training, to a position of esteem in the medical profession of our community. He is the father of five sons but I am sure he will do nothing to encourage these sons into the profession of medicine when people such as you are repeatedly degrad­ ing this time-honored profession. I realize that all physicians are not above reproach, which is true of every group, but on February 2, 1961 you distorted the true picture. You searched until you found what you wanted, you edited in a slanted fashion, you walked a tight-rope of half-truths and innuendos, you defamed the American Physician. You can never repair the damage you have done, but the commandments of God say that you must try!

Very sincerely,

Mrs. Samuel E. Adams

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why you can expect more from Ilosone (propronyl erythromycin esler lauryl sulfate. Lilly)

Ilosone, in its more acid-stable form, eliminates the need for an “empty stomach” for effective antibiotic therapy. Food no longer interferes with absorption to any great extent. Moreover, en­ hanced absorption from the intestine in compar­ ison with that of older forms of erythromycin assures greater certainty of therapeutic response. Thirdly, Ilosone is notably safe. In a review of over 20,000 case reports, there were no serious side-efTects or toxic reac tions. Summing up: Ilosone works decisively in a wide variety of infections.

Usual Dosage: For infants and for children under twenly-fwe pounds of body weight, 5 mg. per pound every six hours; for chil­ dren weighing twenty-five to fifty pounds, 725 mg. every ■ “ The high levels, plus prolonged six hours. duration o f antibacterial activity and For adults and for children over fifty pounds. 250 mg. no decrease in absorption when given every six hours. with food , should provide greater thera­ In more severe or deep-seated infections, these dosages peutic effectiveness . . ,” 1 may be doubled. 1. Griffith, R. S .: Antibiotic Med. &. Clin. Therapy, 7:320, 1960. ” Available in Pulvules1®, suspension, and drops. 1 4 BULLETIN o f the Fierce County M edical Society

Jtt iiHmnriam WILLIAM N. KELLER, M.D.

Dr. William N. Keller was horn in Council Bluffs, Iowa in 1S75. His pre­ medical school was Princeton University and lie graduated from Rush Medical College in 1S99; he had a surgical internship under the famous Dr. J. B. Murphy at the Cook County Hospital. Dr. Keller came to Tacoma at the turn of the century and began practicing general medicine and surgery as chief surgeon for the Northern Pacific Hospital until 1906. He then opened an office in the old Fidelity Building and for eight years served as the local Milwaukee Railway surgeon. His particular interest during these years was goiter surgery. He was active on the staffs of all the major hospitals in the community including Pierce Count)', Tacoma General and St. Joseph’s hospitals and had a large and active practice. Dr. Keller was a regular attender and president of the Pierce County Medical Society and was extremely active in its business affairs. In 1914 Dr. Keller was appointed by Governor Lister as the Superintendent of Western State Hospital where lie served one term. From 1916-1918 he served in the United States Army as a medical officer. hi the early ]930’s he was again appointed as Superintendent of Western State Hospital by Governor Clarence D. Martin and held this post up to the time of his retirement in 1949. He was certified in psvehiatrv by the American Board in 1940 and was also a life member of the American College of Surgeons. While Dr. Keller made many contributions to medicine and society in general, his outstanding accomplishment was the elevation of the quality of practice in mental hospitals of the State of Washington. When Dr. Keller first became Superintendent of Western State Hospital, the standard of medical practice was indeed antiquated. He surrounded himself with a staff of fine, competent physicians and in a tew years was able to quality the hospital for residency training. Dr. Keller was an extremely competent and efficient admin­ istrator and was familiar with every detail of the operation of his hospital even including such minor things as where cach and every flower was planted on the grounds. Me became an expert in the field of agriculture and dairying and his herd of cattle at Western State Hospital won many ribbons and national recognition for their quality. Dr. Keller was loved and respected by his colleagues and employees although many regarded him as somewhat of a benevolent despot. Because he ruled the hospital with an iron hand he was able to affect the advances and improvements cited above. Dr. Keller has been an inspiration to many young professional men who were fortunate enough to have been able to serve with him and many of these individuals currently practice in this community. He was a kind and considerate family man and leaves behind a grown son and daughter, a wife and several grandchildren. Dr. Keller’s hobbies included such diverse interests as the stock market, business and finance, horticulture, agriculture, veterinary medicine, ornithology, geology and various athletic sports. His guidance and advice will be missed by all of us who have ever been in close association with him.

C harles P. L arson, M.D. BULLETIN o f the Pierce County M edical Society 15 relieve

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BULLETIN o f the Piebce County Medicai. Society 1 9 jng titles”. You make a big issue of the ones, whose only official registry is with the fact that the American Medical Technolo­ U. S. Census. gist, “now write simply M.T.” after their The fact that AMT succeeds in ensnaring names. Is this a crime? Is this misleading? a few competent individuals, whom we Why didn’t you, on the other hand, state have known as friends, but who, them­ that the initials M.T. are official, and have selves, might have known better than to actually been copvwrited by the American lend to the AMT their money and support, Medical Technologists. does not make this A.M.A.-independent, All the above, however, is simply a self-seeking, status-hungry and, indeed, response to your irresponsible sniping. The “self-beknighted” organization any more real issue, of course, is whether there is a tasteful. Permit a ([notation from the Offi­ place in the paramedical field for those cial Journal of the American Medical Tech­ laboratory technologists who have been nologists (33:48, 1961) by their Executive- trained by people who are not pathologists. Secretary, E. W. Williams, Ph.D.: ‘‘There The issue goes even further. Does the per­ are top medical schools that now offer the formance of a laboratory procedure repre­ M.D. degree in six years following high sent the practice of medicine, or is it the school. Why be a technologist in four years, enactment of a series of chemical proced­ when one may be a pathologist at the end ures? Is judgment involved? Do the same of a six-year course?” Yes, he did say ''path­ human factors which a doctor evaluates ologist”, but he might just as well have in making a diagnosis pertain in the deter­ said “internist.” And perhaps this is in the mination of a blood sugar? long range planning. Already the American Board of Bio-Analysts, to which the writer's Obviously, Mr. Editor, your sentiments informant sent his fee for a certificate, a are on one side of the fence; mine on the card, a key, and eligibility for membership other. It is also obvious that you feel that as a Dean or a Fellow in the American Col­ those technicians trained under the Ameri­ lege of Bio-Analysts, now certifies physi­ can Medical Technologist program, are in­ cians, regular or osteopathic, in Bio-Analyt­ adequately trained and simply represent a ical pathology, lawyers in Bio-Analytical status-seeking group. Would you answer jurisprudence and a lot of people in Bio- me, then, one simple question. Why, in the Analytical just about everything. laboratories which you and your group supervise, are there “four AMT technolo­ This matter, in your editor's mind, does gists employed at the present time? not seem far away from the matters of “paramount importance to the large major­ Very truly yours, ity of the Pierce County Medical Society." George A. Race, M.D. It is with us and it mocks the entire medical profession. —Ed. "Revised to tw o—2-17-61. Ed. Note: There aren’t. But this is beside the point. The narrow-minded, reactionary editor employs some technicians, good Dear Dr. Reberger: You are to be congratulated for bringing some life to the Bulletin. Your editorials are sure to increase thinking on medical OVERWEIGHT? problems. 10-12 HOUR HUNGER CONTROL WITH The chief complaint I would have against your editorial regarding qualification of LESS THAN 1% CNS STIMULATION laboratory technicians in the February Bulletin is that you oversimplify what TENUATE'DOSPAN8 seems to be a complex problem. You have it boiled down to the good guys ( “our group") and the bad guvs. I certainly 2 0 BU LLETIN of the Fierce County M edical Society

agree that excellence in training, experi­ getting good or bad lab work, and the ence and performance is the desired objec­ integrity to support the good. At the pres­ tive in any profession. We get into trouble ent time this seems to be the only way in determining who will establish the rules, physicians can say which laboratories and/ who will be the judge and who will be the or technicians should continue. I under­ policeman. stand there is no licensing of laboratories and your- group opposes such a move. Questions which come up in respect to this particular problem are in a practical As long as AM T exists and has meetings vein. to try to improve themselves I don’t think they should be discouraged. Why don’t we 1. Are there enough ASCP technicians to work with them to improve their abilities. handle the laboratory needs of the country? Sincerely, 2 . Is there a place for clinical laboratories which are not managed by pathologists? G. M. Whitacre, M.D.

3. What happens to technicians who take Ed. Note: Agreed, this is a complex prob­ the prescribed training course and fail to lem. But it seems clear that we should pass the examination? support our AMA-approved schools and 4. Are there tests for continued compe­ give proper credit to those who have co­ tence after initial acceptance by ASCP or operated and are cooperating with us in AMT? following the AMA-prescribed course of training and conduct. And it seems equally 5. Is this condition comparable to that in clear that we are under no obligation to the private practice of medicine where doc­ “improve the abilities” of those who are tors list themselves as specialists who have freely asserting that we are incompetent to inadequate training or are unable to pass determine what is proper training and pro­ specialty board examinations? fessional conduct. — Ed. 6. If we don’t handle the problem within our profession should we pass on other people’s business? 7. How important are the economic fac­ tors involved? Annual Meeting Laboratories don’t exist unless physicians patronize them. The individual doctor must decide on the adequacy of the work Tacoma Academy of done. The problem comes back to the abil­ ity of the physician to tell when he is Internal Medicine Saturday, Mar, 11, 1961 BEALL’S The Prescription Store DAMMEIER 124 Meridian South Printing Co. PUYALLUP BRoadway 2-8303 Phone Puyallup 5-8444 811 Pacific Ave. Tacoma BULLETIN o f the Piebce County M edical Society 2 1

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Q||IIIM...... Ml til Ml...... Ill...... Ill 11II t Hill I llllllllll tl tlllllllftlrf BULLETIN of the Pierce County Medjcai. Society 2 5 Neivs Item cine with allied Health Professions and Services, has reiterated such opposition; While your editor wiped the blood from and, his bleeding head the following report ap­ "WHEREAS, The College oi American peared in Northwest Medicine (60:180, Pathologists in its Code of Ethics does not Feb., 1961). It should be emphasized that permit competition for laboratory services this resolution is directed at contract labor­ on the basis of Ices, nor division of fees atory practice but the WHEREAS para­ either directly or by any subterfuge with graphs outline more succinctly than did a physician; and, your editor the problems associated with the mushrooming attempts to split medi­ “WHEREAS, operation of any laboratory cine by legal action: psycho-therapy from in this State which charges the physician psychiatry, orthoptics from opthalmology, a flat periodical lee for all laboratory serv­ audiometry from otology, and so on. ices, appears to constitute competition on the basis of fees, and appears to lend itself “Complete text of the resolution, as to fee splitting on the part of the referring amended by the Committee on Ethics and physician; adopted by the trustees on January 7 reads: “THEREFORE, BE IT RESOLVED, “WHEREAS, The American system of that the House of Delegates of the Oregon private practice of medicine has given us State Medical Society deplores the actions the highest health and medical standards of the physicians who refer their laboratory in the world; and services to any such laboratory as detri­ “WHEREAS, the practice of laboratory mental to the patient and the part of the medicine, including both anatomic and referring physician; clinical pathology, is the practice of medi­ "BE IT FURTHER RESOLVED, that it cine; and, is undignified, unprofessional, and unethi­ “WHEREAS, certain lay groups arc at­ cal for a physician to exploit his patients, tempting to amend the laws or their inter­ and further, that selling services or a com­ pretation to permit the division of path­ modity furnished by another at a profit ology into professional and technical serv­ more than adequate to compensate for ices, die latter to be the work of technical overhead and other legitimate expenses is assistants and not to be considered the exploitation.” practice of medicine: and,

“WHEREAS, the American Medical As­ sociation in 1943, in 19-51, and again in 1955, has stated its unequivocal opposition to such division because fragmentation of a part of medicine would be accomplished and thus all medicine would be in danger of being so divided to the detriment of 10-12 HOUR HUNGER CONTROL WITH NO REPORTED CONTRAINDICATIONS the patient; and, ‘WHEREAS, the American Medical As­ TENUOTFpSPAIf sociation, by approval of the 1960 report of the Committee on Relationships of Medi­ 2 6 BU LLETIN of the P i e r c e C o u n t y M e d i c a l S o c i e t y

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IL - ■ ■ ■ ■ ■ ■ 1 1 U i U BULLETIN of the Pierce County M edical Society 27 WOMAN’S AUXILIARY

^Jke Pience M edical ^ocieUf,

ment from the grass roots level on up. Mr. AUXILIARY OFFICERS—1960-61 David Rowlands, City Manage]', will speak President ...... - Mrs. J. Robert Brooke to us at this meeting and although he had President-elect . ____ . ... Mrs. Kenneth E. Gross 1st Vice-President ...... Mrs. M. E. Lawrence no title for his talk when this was written, 2nd V ice-P resid ent ...... Mrs. Robert C. Johnson we thought an appropos label might be 3rd Vice-President ------. ... Mrs. Dudley Houl/. 4th Vice-President ...... Mrs. Carl O. Granquist “Suburbanitis.” This affects us all. so we Recording S e cre ta ry ___... Mrs. Orvis A. Harrelson will see you there. Corresponding Secretary ...... Mrs. Charles M. McGill Legislation Treasurer ...... —...... Mrs. Haskel Maier Assistant Treasurer ...... Mrs. Glenn H. Brokaw Along the same vein, we are sure that

COMMITTEE CHAIRMEN those who heard our State President, Mrs. American Medical Education Kingston, speak at the February Meeting Foundation______Mrs. Robert C. Johnson have their letters in the mail to their Con­ National Bulletin ------— ------Mrs. Dudley Houtz Civil Defense ...... Mrs. Arthur P. Wickstrom gressmen in Washington regarding the need H istorian ______Mrs. Fay Xacc- for the Kerr-Mills Bill rather than Forand- Legislative ------Mrs. Don Wiilardtype legislation. The time to get those Membership...... — ...... Mrs. Glenn H. Brokaw and Mrs. Galon Hoover letters in the mail is NOW! Call Kay Wil­ Nurse Recruitment ...... Mrs. Edward S. Evlander lard, MA 7-0630, if you need additional Paramedical ...... —...... Mrs. Wayne Zimmerman Program ...... Mrs. Herbert C. Kennedy information. On the State level of legisla­ Publicity— tion is House Bill No. 244 which is called Newspaper ...... Mrs. Robert R. Burl B u lletin ______— Mrs. Herman S. Judd the "spare parts" or Tissue Bill. This would Revisions ...... Mrs. Dale D. Doherty allow the next of kin of a deceased person Safety __ Mrs. Jack Mandeville to give the eyes, for use as corneal trans­ Social------Mrs. G. M. Whitacre Speakers B u reau ------Mrs. Philip Grenlev plants, and other parts of the body as they Telephone ...... Mrs. Richard B. Link wished without going through the red tape Today’s Health ...... Mrs. M. E. Lawrence now required. This Bill was sponsored by Minute Women ...... Mrs. Hillis F . Griffin Community Scrv ice_ ...... Mrs. Jess Read Mrs. Frances Hacldon Morgan, chairman of Heart------Mrs. Edward R. Anderson the Medicine and Dentistry Committee, Community C ou ncil ...... — Mrs. John F. Steele Finance...... _ ...... Mrs. Joseph B. Harris and it is backed by the Medical Society on Dance ...... Mrs. Robert W. Florence both the State and County' level. So get Fashion Show______Mrs. Thomas B. Murphy your letters to your Representatives in Game Night______Mrs. Dudley Houte Midyear C onference ...... Mrs. Joseph B. Harris Olympia also. Our Minute-Women may be alerted to do some phoning regarding these measures; if you haven't written letters al­ Joyce Galbraith wall he our hostess on ready. get informed and be preparred to the 17th of this month at twelve o'clock. do so! Her home is at 912 North 13th St., and is Dues Are Due easily found by going to North 13th and Dorothy Maier was pleased to announce Eye and turning up the hill. Chairman for 213 paid up members in February. She the luncheon will be Rosemary Dye with added that statements will be sent to those Billie Murphy as co-chairman. Dee W ick­ with dues outstanding. So make out vour strom, Nancy Buttorff, Grace Hauser, Betty cheek now, if you are remiss, and save Smeall, Ruth Zimmerman and Sandy Ros- her time and postage. Mail to 2707 Hcnrv enbladt make up the committee. Road. Our program chairman is either very Special Events smart or very lucky— or both ( roses to you, Have you marked your calendar for Nadeen) for our program for the clay fol­ April 21st? It will be necessary to limit lows the suggestion made by Dr. Adams reservations as we are inviting the Dental of Spokane at a tea following the visit to Auxiliary and the Bar Auxiliary to share the Legislature in Olympia, i.e., that we the program with us. If you make a reser­ and our husbands study and follow' govern­ vation you will have to pay for your lunch­ 2 8 BU LLETIN o f th e Pierce County M edical Society eon whether or not you are there. Mrs. birth of the following babies: To Mrs. Gadsby’s talk on “Civil Defense” is wonder­ Roberta Berrens (Martin) R.N., a baby fully humorous and enlightening, so let’s girl; to Mrs. Jacqueline Barrett (Reidal) plan to be there. R.N., also a baby girl as to Mrs. Judy Weber We are saving the night of April 29th (Balthazar) R.N. To Mrs, Carol Merrick also—arc you? What is that, you say? The (Johnson) R.N., a baby boy. dinner-dance, of course! To Doctor and Mrs. MeNerthney, a baby W elc o m e girl, Megan Susanne, on February 11th. At The McNerthney’s welcomed a little girl the same time Miss Megan was making on February 11th and named her Megan, her debut a second cousin, Lee Joseph to join Michael, Molly, Melissa and Mau­ Knecht was born. reen. Congratulations! We now have a new Patient/Personnel Seat Belts Library recently opened in the Old Record Dr. Mike Irvin recently wrote the Aux­ Room. Books will no longer be lent directly iliary a very worthwhile letter regarding to patients for practical reasons but may the use ol seat belts. Many “whiplash” and be obtained for any patient by any em­ other injuries might be avoided if seat belts ployee signing out on the card. No fines were installed and in use at the time of a are being charged, but for every overdue collision or other automobile accident. He book the “delinquent” will be asked to suggests that the members of the medical donate an additional book which doesn’t profession and their wives equip their cars have to be new. A very generous lending with seat belts (and not start the car until time of one month-plus is being used which they are fastened) and, by setting an ex­ should prevent many overdue books. ample. others might be influenced to do No active drive for books is presently likewise. He knows ot a shop where they being made but all contributions will be may be purchased and installed very rea­ gratefully accepted. sonably—so why not check with him at his home, or even with Judy Gordon at the Medical Society office. It is too late to sug­ Doctors gest same as a Valentine— but certainly On Friday, February 10, a farewell party there are anniversaries, birthdays, and even was held by the Doctors Hospital of Ta­ Mother’s Day coming. coma for the employees of the Pierce And a happy first day of Spring to you, Count)- Industrial Medical Bureau, Inc. too. The Medical Bureau had been located in the Doctors Hospital Building since 1947, and has recently been suffering “Growing Pains.” They have moved into a beautiful HOSPITALS... and spacious new office located at 7S4 Broadway. The Welfare Medical Program, Saint Joseph’s formerly located at 746 Market Street, has occupied a new office located at 732 Fire prevention classes have been started Broadway. by the Tacoma Fire Department for all hos­ The Doctors Hospital employees were pital personnel. The first class was held on sorry to see them go, and we wish them February 10th and will be conducted twice the best of luck in their new office. a week until every single employee has had Mr. Robert Still of the Aetna Life Insur­ an opportunity to hear this life saving lec­ ance Co. was guest speaker for the em­ ture. In the spring there will be practice ployees of The Doctors Hospital on Janu­ with the fire extinguishers. Fire drills are ary 24. Mr. Still spoke of the Hospital Re­ now in order. tirement Plan, its benefits and purposes. The Maternity Department lakes great Coffee and doughnuts were served. pleasure in announcing open house to be On Friday, February 3, a movie was held on March 17th from 2 p.m. to 5 p.m. shown for the benefit of any of the hospital for all hospital personnel. Also we would like to announce the ( Continued on page 30) ■BULLETIN of the P ierce County Mei HCJAL SoCJETV 2 9

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UNDERTAKING CEMETERY CHAPEL MAUSOLEUM

4100 Steilacoom Boulevard JUniper 4-0252 3 0 BU LLETIN of the Pierce County M edical Society employees who were interested. The movie Kiyoaky Hori, M.D. was entitled “Hospital Sepsis” and was con­ Marion Martha Larsen, M.D. cerning Staphylococcus Infections, their William L. Rohner, M.D. control and how to avoid them. Dr. Charles Kathryn N. Scott, M.D. Reberger was present to answer any David L. Sparling, M.D. questions regarding staphylococcus infec­ Thomas Q. Ziegler, M.D. tions. Inspector Keene and Inspector Birk- The medical technology students have land of the Tacoma Fire Department were prepared 1500 silk screen portfolios for the also present as guest speakers. They demon­ coming national convention of American strated the various types of fire extinguish­ Society of Medical Technologists to be ers and explained how they work and how' held in Seattle in June of this year. Miss to use them. Their demonstration was very Lucille Larson, Head Technician, will be effective and the employees greatly appre­ general chairman for the event. ciate the time they took to talk to us. The State Department of Health recently carried out an inspection of The Doctors Hospital of Tacoma. Mrs. Elizabeth Erick­ Poison Control Center son, R.N., Hospital Nursing Consultant for the Department of Health and Mr. John Total number of calls ______. 88 Drake, Senior Licensing consultant for the Calls from parents or other lay persons ...73 Department of Health were in charge of Physicians or Hospitals ...-______15 the inspection. Heading the Professional Staff of The Substance Taken Doctors Hospital of Tacoma for the ensu­ Medicinal Substances: Aspirin Gr. % 2, ing year will be, Samuel E. Adams, M.D., Aspirin Gr. IV4 3, Aspirin Gr. IVz 1, Aspirin President; Robert S. Lantiere, M.D., Vice- Gr. 5 1, Darvon, Sleep-eze, One A Day President and President-elect. Other offi­ Vitamins, Hollendex Ointment, Ex-Lax 2, cers elected at the Annual Meeting of the Diet Pills (Unknown), Cascara Sagrada, Professional Staff were: Frederick J. Tr. Benzoin & Alcohol, Phenobarbital Gr. 1, Schwind-, M.D., Secretarv-Treasurer and C. Seconal, Biphetamine, Codeine Cough Sy­ B. Ritchie, M.D., Representative of the rup, Phenolphthalein, Corciden Tablets, Staff. Calomine Lotion 2, Tvzine Nose Drops, Committee chairmen appointed by the Equinol & Aspirin, Boric Acid Powder, President are: W. J. Rosenbladt, M.D., Potassium Chromate, Watkins Multivita­ Daniel J. Thomas, M.D., Miles Parrott, mins, Johnsons Baby Oil, Midol, Cosanyl M.D., B. D. Harrington, M.D., Haskel L. Cough Medicine, Phenacetin, Nodoz. Maier, M.D., Russell Q. Colley, M.D., J. W. Other Substances: Comet Cleanser, Paint Read, M.D., and Charles C. Reberger, M.D. from Dominoes 10-80 (Rat Poison), Rit Dye - Black, Cigarette, Lvsol 2, Spray Net, Vel Detergent 2, Canned Peas, Walter Win- Tacoma General chell Clean Fluid, Fluorescent Light, White On February 7th seven doctors who had Berry - Unknown, Horse Chestnut, Philo­ recently been admitted to the medical staff dendron! Leaf, Begonia Leaf, Fragonard were given a brief orientation to the hos­ Perfume, Chiffon Liquid Soap, Le Alion pital. The first part of the orientation, which Perfume, Scuff Coat Cleaner, Nair Hair deals with the policies and practices of the Remover, Lighter Fluid, Turpentine, White hospital, was given by Hugh Owens, Ad­ Buck Shoe Cleaner, Yankee Clover ministrative Assistant. After a dinner with Cologne, Gasoline, Sal Soda 2, Purex 2, the Executive Committee, Dr. Glenn H. Fuel Oil, Value Mart Soap Powder, K-Lens Brokaw gave a few remarks on the medical Window Cleaner, Wild Rose Cologne. aspects of the hospital. New staff members who attended the The Pierce County Medical Society orientation were: Office will be closed Thursday and Friday Erna Guilfoil, M. D. March 16, 17, 1961. BULLETIN of the Pierce County M edical Society 3 1

Prescription Optical Com pany

“Fashion In Eyewear ”

205 Medical Arts Building Tacoma, Washington

MArket 7-4151

Branches in . . . Lakewood - Everett - Bremerton - Fort Lewis

C*0*LYNN CO* Providing Fine Funeral Services Since 1905 717-719 Tac. Ave. So. Phone MA 7-7745 Pierce County Medical Society BUIK RATE Medical Arts Building Tacoma 2, Washington U. S. POSTAGE PAID TACOMA, WASH. PERMIT No. 300

MONTHLY MEETINGS STAFF OF DOCTORS HOSPITAL OF TACOMA Second Monday of March, June, Sept., Dec.—7:30 p.m. Auditorium of Medical Arts Bldg. STAFF OF GOOD SAMARITAN Second Monday of March, June, Sept., Dec.—6:30 p.m. STAFF OF NORTHERN PACIFIC Second Monday of each month—noon. STAFF OF ST. JOSEPH'S Third Monday of March, June, Sept., Dec.—6:15 p.m. STAFF OF MOUNTAIN VIEW GEWETLPL FO^PITAT, Last Monday of February, June, September and November TACOMA ACADEMY OF PSYCHIATRISTS and NEUROLOGISTS First Tuesday of each month—8:30 p.m. Board Room of Pierce County Medical Society PIERCE COUNTY MEDICAL SOCIETY Second Tuesday of the month except June, July & August — 8:15 p.m. STAFF OF TACOMA GENERAL First Tuesday of March, June, Sept., Dec.—6:30 p.m. TACOMA SURGICAL CLUB Third Tuesday of each month—6:30 p.m. at Tacoma Club TACOMA ACADEMY OF INTERNAL MEDICINE Fourth Tuesday of each month—6 n.m. at Tacoma Club TACOMA ACADEMY OF GENERAL PRACTICE Fourth Monday of each month except June. July & August — 6:30 p.m. at Honan's PIERCE COUNTY PEDIATRIC SOCIETY First Friday of each month except June, July and August STAFF OF MEDICAL ARTS HOSPITAL Third Friday of March, June, Sept., Dec.—7:15 a.m. at New Yorker Cafe. STAFF OF MARY BRIDGE CHILDREN'S HOSPITAL Fourth Friday of March, June, Sept., Dec 12:15 p.m. BULLETIN PIERCE COUNTY MEDICAL SOCIETY BU LLETIN of the Piebce County M edical Society Pierce County Medical Society

1 9 6 1

OFFICERS President ...... Chris C. Reynolds President-Elect ______G. Marshall Whitacre Vice-President ______..Robert M. Ferguson Sccretary-Treasurer______Arnold J. Herrmann Executive Secretary______Judy Gordon

TRUSTEES Glenn H. Brokaw Chris C. Reynolds Dale D. Doherty Cyril B. Ritchie Robert M. Ferguson Frederick J. Schwind Happy Birthday Arnold J. Herrmann John M. Shaw George S. Kittredge Stanley W. Tuell Robert W. Osborne G. Marshall Whitacre April D E L E G A T E S Douglas P. Buttorff George S. Kittredge Arnold J. Herrmann Stanley W. Tuell 1 LAWRENCE SKINNER Herman S. Judd Wayne W. Zimmerman ALTERNATE DELEGATES 2 EDWIN J. FAIRBOURN Charles R. Bogue Robert W. Florence Glenn H. Brokaw Glenn G. McBride Robert M. Ferguson Frederick J. Schwind WILLIAM W. MATTSON, JR.

COMMITTEES 4 B. D. HARRINGTON Ethics Miles Parrott, Chairman 5 C LIN TO N A. P IP E R Haskel L. Maier William H. Goering G rievance Cyril B. Ritchie, Chairman 7 EVERETT NELSON J. W. Bowen, Jr. Herman S. Judd Program 10 JAMES BLANKENSHIP Robert C. Johnson, Chairman Robert A. O’Connell Buel L. Sever Library 11 LAWRENCE BRIGHAM S. Robert Lantiere, Chairman J. Edmund Deming Haskel L. Maier Dudley W. Houtz John F. Steele 12 CHARLES MAY Public Health Max S. Thomas, Chairman Z. JO SE P H V O Z E N ILE K Public Relations Robert M. Ferguson, Chairman Kenneth E. Gross John M. Shaw 15 LEO HUNT Arnold J. Herrmann George A. Tanbara Arthur P. Wickstrom DOUGLAS MURRAY House and Attendance William E. Avery, Chairman Eugene Hanson Haskel L. Maier 16 ROBERT OSBORNE Civil Disaster David T. Hellyer, Chairman Richard B. Link Leo F. Sulkosky CHARLES TRIMBLE John M. Shaw Arthur P. Wickstrom T. R. Haley Charles E. Kemp 20 JOHN COMFORT D iabetes Edwin J. Fairbourn, Chairman Frank W. Hennings John S. May 21 HAROLD JOHNSTON Entertainment Samuel E. Adams, Chairman 22 WILLIAM AVERY L. S. Durkin Robert M. Ferguson Robert A. Kallsen Geriatrics RICHARD DAVIS John F. Comfort, Chairman William P. Hauser William McPhee Leonard Morley 24 EUGENE HANSON Legislative Wayne W. Zimmerman, Chairman 25 RODGER DILLE Douglas P. Buttorff Charles C. Reberger John M. Shaw Medical Education 27 JOHN GULLIKSON Elmer W. Wahlberg, Chairman Glenn H. Brokaw Clinton A. Piper 28 JAMES BOUDWIN Schools R. A. Norton, Chairman Theodore Apa George S. Kittredge L O U IS P. H O YER, JR . Orvis A. Harrelson Jack W. Mandevilie George A. Tanbara Traffic and Safety RICHARD B. LINK Albert Ehrlich, Chairman Mental Health 29 A. W . H O W E William H. Todd, Chairman James W. Boudwin Hugo Van Dooren 30 DONALD McKAY Bulletin Staff Editor ...... - Charles C. Reberger Business Manager...... Judy Gordon Auxiliary News Editor...... - -Mrs. Herman S. Judd the choice—by acclamation! for ringworm therapy

In the less than 2 years since griseofulvin — lirst orally effective antifungal antibiotic —was introduced, over 2.50 leading investigators have publi-lied over 150 clinical reports and reviews in 20 countries concerning results in over 4,500 patients with dermatomycoscs. Almost all of the patients benelited from griseofulvin.

I Ml

JilO, 19j9. (2) Andrew?, (V C.; Oo'tionfcoi, A. N„ and SHwa, A.. Jr.i i A,M A. 173 1542, I960. (3) Arnold, H L., Jr i Straub CUn. P/oc. 2't M iO*i, G. K., and laTouchi*, C. J : lint. M, J, 3.1141, 1 9 5 'M S^ U ^ ^ ^ ^ ^ ^ ^ yirn in M. J. 50 1'm.d, (i,) n.iruUmi, A.: Farm.tc.. [I il. St . S. Anw'tf Forces M. J. IMU'1, M. T.; Lubovti*.

•in >\ t r !> Practitioner C.itJtjury, C a ro lin a h

^ B ^ . - j. i 1959. J tt ( Womcn^^^g B J B ,j Stclr^^ ^ ^

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0. 5 : i f, i M. Clrclt? ind loflcrcr] 1, H. M., Jr. 5) Robinson, R (Ber. R. L : J in* Canada 15:53, isi . e t a l. L jn c « i 1 1 d, 6.t J. Invest. Derma n ia s M. Soc. 6 1 2 ■), I •St, Oormat. 34:295, 196< I Sidl, E.. and Spuuv.i*, ecllcul Med, 24:360, 19G0, l,i Current Therap. R rv 1:1. Maddln, S . W .: C an ad . 1.1.A .J , a' Kill, Dfrmat. & Venercol 13 M i ttfO palh. A . 59:370, I960. (14?) Vant? Am. f’odlal. A. 50:297. I960. (144) W< mbla 21:423, 1959. (145) Walsh, A. I , and' O n t. M J . 2 1329. 1959. (147) w.n.am v *, O. I.t Practitioner 184:383, 1960. (149) Williams, ______TXancet 2 121?, m a (ISO) Wilson. J.W : M. Clin N 33(14, I960, (152) Wrong, N. M.i Canad. M.A.J. 80:656, 1959. (153) Wm m k , N. M„ and Rogers, S.i A,M,A. Arch. Oormat. 81:776, 1960 (154 S,t Canad. M.A.J. 81:167, 19!i!>, (153) Yontof, R.i J. M. Soc. Now Jorsay 30:730, 1959. (156) Zfnzlus, J,i DtUJl-iclics mod. J. 11:121, 1900. 4 BU LLETIN of the Pierce County M edical Society

REGULAR MEETING

PIERCE COUNTY MEDICAL SOCIETY Tuesday, April 11

MEETING . . . 8:15 P.M.

MEDICAL ARTS BUILDING AUDITORIUM

* # * *

PROGRAM

“ LEGISLATIVE HIGHLIGHTS”

MR. RALPH W. NEILL, Executive Secretary Washington State Medical Association

A no-host social hour and dinner will precede the meeting Social Hour: 6:00 Dinner: 6:45 Place: Honan’s Restaurant 739V2 St. Helens BULLETIN o f the Piebce County M edical Society a

Size isn’t everything. Even if your estate is modest it can stretch a long way for your family —in terms of time and in terms of available resources— if you plan it so.

In your Will, for example, you can name an experienced trustee and create estate-stretch­ ing trusts for the benefit of your dependents.

Without obligation on your part, we'll be glad to talk with you and your attorney about how far your estate will go. Call on us soon.

MEMBER FEDERAL DEPOSIT INSURANCE CORPORATION 6 BU LLETIN of the P i e r c e C o u n t y M e d i c a l S o c i e t y April Calendar of Meetings

MONDAY TUESDAY WEDNESDAY THURSDAY FRIDAY

3 4 5 6 7

Tac. Acad, of C.P.C. ofT.G. Pierce County Psych. & Neurol. Hosp.— 8 :3 0 a.m. Pediatric Society 8 :3 0 p.m.

10 11 12 13 14

PIER C E DOCTOR- Staff of N.P. COUNTY C.P.C. of T.G. LAW YER N non M ED IC A L Hosp.— 8:30 a.m. ANNUAL SO CIETY DINNER 8:15 P.M. Fircrest Golf Club

17 18 19 20 21

Tacoma Surgical C.P.C. of T.G. P.C.M.B. Board of Ckib— 6 :3 0 p.m. Hosp.— 8 :3 0 a.m. Trustees— 8 p.m.

24 25 26 27 28

Pierce Countv Tacoma Academy Chapter A.A.G.P. of Internal C.P.C. of T.G. 6:30 p.m. Medicine IIosp.— 8:30 a.m. 6:00 p.m.

EVERY DROP PURE HEAT "Glasses as your eye STANDARD physician prescribes them"

Heating Oils Contact Lenses — Artificial Eyes

Call AAA. 7-3171 Columbian Optical Co. Fuel Oil Service Co. Ground Floor, Medical Arts Bldg. 816 A St., Tacoma Medical Center Mark Dolliver Jack Galbraith Western Clinic Bldg. BULLETIN of the Pierce County M edical Society 7

effective, palatable, economical

CREMOSUXIDINE®[SULFASUXIDINE®SUCCINYLSULFATHIAZOLE suspension w ith kaolin and pectin] reduces fluidity of stools, reduces enteric bacteria, adsorbs toxins, and soothes the irritated intestinal mucosa. Chocolate-mint flavored...readily accepted by patients of all ages.

Additional information on CREMOSUXIDINE is available to physicians on request.

M ERCK SHARP & DOHME, division of merck & CO ., Inc., w est point, pa. 8 BU LLETIN of the Pierce County M edical Society EDITORIALLY SPEAKING

The New Frontier . . . Japanese Style

Shiro Ukavva, M .D., a surgical resident from Japan now completing his year of pathology training at one of our local hospitals, was asked to assemble a few notes on Japanese medicine for use in this column. His insight into a program, older than Great Britain’s, of centralized medi­ cal care offers some food for serious thought. —Ed.

On Sunday, February 19, 1961, seventy thousand doctors and thirty thousand dentists in Japan took an extended holiday with the announcement from the Japan Medical Association for people to get sick at their own risk. Shortly afterward the public clamor brought about a moderate yielding so that life and death matters might receive medical attention, but the strike continues and Japan doctors and dentists are determined to fight for a 30 per cent increase in pay. The American press tended to ignore the critical financial state in which Japanese doctors and dentists have come to find themselves.

In Japan there are two types of medical practice. One group of practitioners consists of the hospital physicians and the other, the private physicians who have no hospital privileges. The private open-staff hospital as we know it in the United States is non-existent in Japan. Generally, the private physicians earn approximately twice the income received by the hospital physician. But the income of the hospital physician is not above that of the average office worker who earns just enough to feed and shelter part of a family in humble style.

At the present time, a young doctor who has spent four years in the study of medicine following completion of at least two years of college and preferably more, as in the United States, must, in order to practice m edicine as he has been taught, with hospital facilities, specialize. An average residency in Japan pays the doctor nothing except in the third, sixth and seventh years when the budding specialist may earn about forty to fifty dollars spending equivalent per month. In the sixth and seventh years, with this income and the extra few dollars he gets from taking private doctors’ night calls, the medic may feel sufficiently stable to take a wife, particularly if his or her family has some money. But some wait until they get their hospital appointment when their income jumps up to about eight)' to one hundred twenty dollars per month. Advances are slow and small. The full-time full professors of the medical schools may achieve an income of $200 per month, but even their incomes are usually BULLETIN o f the Pierce County M edical Society 9 less. The scale is government fixed and has lagged about ten years behind an inflationary economy.

It was not always thus. The transition from a more liberal, gratifying and reasonably remunerative type of practice along German-American lines as we know it in this country, came about in 1927 with the institution of the Government medical care program. At present, the medical practice is wedged between the influence of the socialist-minded individuals and of the government officials who know full well that the country cannot, under a blanket medical care program, afford the luxuary of improving the lot of the physicians and with it the lot of the sick.

One may wonder why a young Japanese considers the profession. There arc in Japan some things almost as important as money and even more important, once basic necessities are assured. To the older families medicine is a venerated profession and, if a young man will be a doctor, the family, if they can, will assure part of his support. Also, he may marry well and have two extra sources of support.

As for the private physician, he may well become a relic of the past. The medical services which are rewarded with private fees must come from an ever decreasing faction of the population since only a dwindling few are not covered by union contracts or the government medical care program. Both hospital and private physicians are paid for their services by these agencies, but the private physician is limited by not having hospital affiliation and is forced to document convincingly each patient’s fees. This does not imply that private practice is dead in Japan but the trend is in operation toward increasing proportions of physicians having hospital-connected posts which mean costly specialization and complete dependence upon the government or unions.

And so it is that the private and hospital doctors have joined with the dentists of Japan to go on strike to ask for a 30 per cent increase in income, which even if won, as the nurses’ strike in January was not, will leave them far below an actually justifiable request for a 300 per cent increase, and will also leave them just about as bad off as before. So far, the government has offered a 10 per cent increase. By and large, the population of Japan is not sympathetic with the strike but is sympathetic with the reasons for the strike.

It does not trouble the Japanese hospital patient very much that the hospital food is usually so nutritionally poor that they must cook food themselves or have it brought from home. This is accepted. But, for doctors, the restric­ tions under the insurance plan, regarding choices of diagnostic measures and courses of therapy, are almost unbearable for conscientious physicians even if their incomes could be made acceptable.

Perhaps the American patient will not find it necessary to cook his meals at the bedside, but the problem of entry into a total socialized medical care program is not far off. And what happens to patient care? W hat happened to Japan? “Get sick at your own risk!” The clouds of total care have no silver linings. The new frontier is not new. 1 0 BU LLETIN of the Pierce County M edical Society

New Members

Dr. Yukio Kumasaka Dr. Kiyoaky Hori

Dr, Kumaska was horn in Seattle, Wash­ Dr. Hori was born in Idaho Falls, Idaho ington on November 4, 1927. He received on November 14, 1926. He received his de­ his degree from the University of Wash­ gree from the University of Oregon Medical ington School of Medicine in 1955 and School in 1956 and interned at St. Vin­ interned at the King County Hospital; his cent’s Hospital in Portland. His residencies postgraduate training was taken at the Uni­ were taken at Sacred Heart Hospital in Spo­ versity of Oregon. Dr. Kumasaka began kane and at Tacoma General Hospital. practice in Pierce County July 1, 1960 and Dr. Hori began practice in Pierce County he and his wife, Julianne, live at 702 North July 1, 1960 and he and his wife, Audrey, Sheridan. His practice is limited to Allergy live at 1408 North Cedar. He is a specialist with offices in the Medical Arts Building. in Anesthesiology with offices in the Puget Sound Medical Building. Dr. Marion M. Larsen

Dr. Larsen was born in Butte, Montana on September 11, 1916. She received her degree from the University of Oregon School of Medicine in 1956 and took her internship and residency at the University of Oregon Hospitals and Clinics. Dr. Lar­ OVERWEIGHT? sen began practice in Pierce County July 10-12 HOUR HUNGER CONTROL WITH 18, 1960; she is a specialist in Internal Med­ LESS THAN 1% CNS STIMULATION icine with offices in the Medical Arts Building. TENUATE9DOSPAr

PATRONIZE YOUR ADVERTISERS BULLETIN o f the Pierce County M edical Society ______U LEDERLE INTRODUCES

CHEMICALLY DISTINCT FROM PREVIOUS TRANQUILIZERS New ataractic which works without detracting signifi­ cantly from mental alert­ ness. Treated patients gener­ ally respond normally to everyday situations without becoming drowsy.

DOSAGE: as an ataractic: Recommended adxi.lt dose is one 4 0 0 mg. tablet four times daily. PRECAUTIONS: Extensive clinical investiga­ tions have failed to reveal significant toxicity. Nonetheless, as with all new drugs, particu­ larly when the drug' is used at high dosage or at any dosage for extended periods, rou­ tine hemograms are advisable. The patient should always remain under supervision as long as T R E P ID O N E therapy is continued. If side effects outweigh the therapeutic ben­ efits or become a therapeutic problem, tlie drug should be discontinued. PACKAGE: Tab­ lets of 4 0 0 mg. TREPIDOJSTE Mephenoxa- lone, bottle of 50.

LEDERLE LABORATORIES, A Division uf AMERICAN CYAN AMID COMPANY, Penrl River, New York

BULLETIN of the Pierce County M edical Society 13

relief I When inflammation is present, Darvon® combined with A.iS'./J.® Compound reduces discomfort from pain, to a greater extent than does either fever, analgesic given alone. and inflammation

DARVON® COMPOUND and DARVON COMPOUND-65

. . . combine the analgesic advantages of Darvon with the antipyretic and anti-inflammatory bene­ fits of A.S.A. Compound. Darvon Compound-65 contains twice as much Darvon as regular Darvon Compound without increase in the salicylatc con­ tent or size of the Pulvule®. Formulas: Darvon Compound Darvon Compound-65 32 mg...... D a r v o n ...... 65 mg. 162 mg...... Acetophenelidin. . 162 mg. 227 mg...... A.S.A.0 ...... 227 mg. 32.4 mg...... C a ffe in e ...... 32.4 mg. Usual Dosage: Darvon Compound: 7 or 2 Puluules three or four times daily. Darvon Compound-65: 7 Pulvule three or four times daily.

Darvon® Compound (dextro propoxyphene and acetyl sal icyl ic acid com­ pound. Lilly) Darvon^ (dextro propoxyphene hydrochloride, Lilly) A.S.A.® Compound (acetylsalicylic acid, acetophenetidin, and caffeine, Lilly) A.S.A.® (acetylsalicylic acid, Lilly)

Eli Lilly and Company Indianapolis 6, Indiana, U.S.A. 120210

BULLETIN of the Pierce County M edical Society 15 relieve

when due to cow's milk allergy

In a clinical study1 of 206 milk-allergic infants, FOR PREVENTION: When allergic tendencies the “colicky” symptoms evident in 31% were exist in parents or siblings, it is advisable to promptly relieved when the infants were placed start the“potentiallyallergic” newborn on Sobee. on a soya formula. FOR DIAGNOSIS: If cow’s milk allergy is sus­ pected, a 24- to 48-hour trial period with Sobee 1* Clein, N. W .: Pediat- Clin.North America, Nov., 1954, pp. 949*962. often eliminates the need for an allergy study. specify

Hypoallergenic soya formula

Mead Johnson Laboratories Symbol of service in medicine 1 6 BU LLETIN of the Fierce County M edical Society

STOWELI/S. . . Prescriptions

Our completely new and larger store will give you and your patients more efficient and reasonable service

111 FREE DELIVERY

111

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Doctors Hospital Building

NORTHWEST

PACIFIC TABLE PAPER

GREATER WET STRENGTH -Pacific Paper ab­ sorbs wetness and perspiration. When the patient gets up . . . the paper sta ys on the table for easy removal. GREATER COMFORT —Pacific Paper offers less tearing, creasing and wrinkling under the patient . . . And . . . P a cific is s o fte r, too. Pacific Paper GREATER LENGTH — Pacific Paper gives you longer rolls . . . more patients per roll. . . The World’s You will actually get more use from the extra Finest Paper f o o t a g e ...... but you pay no more. GREATER CONVENIENCE- Pacific Paper is easily disposed of because of minimum bulk . . . tnn it’* miipt canitarv pronominal and pffiripnt BULLETIN of the Pierce County Medical Society 17

Milk, plus Medosweet's process of flavor blending, the proper wedding of Guernsey, Jersey, Holstein milk, to create the most perfectly balanced, natural health nutrient. Medosweet ■ * ~ O S £ Tacoma, Washington

Intravenous, vials. 100 mg. (with 250 mg. Vlt. C). 250 mg. (with 625 mg. Vlt. C), 500 mg. (with 1250 m g. Vlt. C).

Intram uscular, vlafs, 100 mg. (with 250 mg. Vit. C). 250 mg. (with 275 mg. Vit. C). (e a c h with p r o c a in e HCl <*0 m g ., magnesium chloride 4-6.84. mg.)

ACHROMYCIN Tetracycline lederle

a standard in parenteral antibiotic therapy

LEDERLE LABORATORIES, a Division of AMERICAN CYANAMID COMPANY, Pearl River, New York 1 8 BU LLETIN of the Pierce County M edical Society

Treasurer; Rev. Harold Aalbue, Carl HOSPITALS... Brynestad, Everett Dickison, Frank Gratias, Jack Linn, O. E. Morken, Harold Nelson and Godwin Rorem. Tacoma General A guest speaker at the February meet­ On March 7, the quarterly meeting of ing of the Board was Laurence Evoy, Man­ the Medical Staff was held in Jackson age]- of the Pierce County Industrial Medi­ Hall. The program was devoted to “Frac­ cal Bureau. tures in the Aged”. Members of the panel The Women’s Auxiliary, through their discussing the subject were: Robert Flor­ Memorial Fund, have donated a new model ence, M.D., moderator; Wayne Zimmerman, Emerson resuscitator in memory of Wil­ M.D. and George Gilman, M.D. liam Howard Shull. The resuscitator may A change has recently been brought be used for inhalation and aspiration as well about in the location of the Personnel Of­ as for resuscitation. It can be moved to any fice due to the building program. Mrs. Jose­ area of the hospital and operated with the phine Juberg, Personnel Director, and her piped oxygen system, or if required in areas assistant, Mrs. Dorothy Fry, moved into away from this system, by the oxygen offices on the second floor of the Annex cylinder attached. building. Her former office has been taken Another new service being introduced by over by the Central Supply Department to the Women’s Auxiliary will be hospitality be used as the splint room. service to patients and visitors. Flowers, On Friday, March 17th, a state-wide mail and patient opinion polls will be given meeting of the Washington Chapter of the to patients by Auxiliary members. The American Association of Hospital Account­ women in the cherry red smocks will also ants was held in the New Washington Hotel assist with such duties as escorting patients in Seattle. Attending from Tacoma General to their room, serving coffee to families of were Mrs. Bernice Hockett, Chief Account­ critical patients or those having surgery, ant; Mrs. Ethelwyn Miles and Mrs. Ilene and in greeting and directing visitors. Mills. One of the topics of considerable The guest speaker at the March Medical interest that was discussed was the plan Staff dinner was Mrs. Williamson of Moun­ of uniform charging of hospital rates. tain View Hospital, who discussed eligibil­ The In Service Committee of the Nurs­ ity and admission of patients under the ing Department put on a program devoted County Hospital program. to Oxygen Therapy on March 16. A dis­ play of equipment was set up in the recrea­ tion room in Jackson Hall where groups of Saint Joseph’s nursing personnel were shown how to use the equipment. The big news in Central Supply is their new water still. Please remember, that it is a water still only! It makes ten gallons of Good Samaritan water per hour. Mr. Michael Ell, the father of Rex Niam, Francis Chervenka, Michael Pasquier celebrated his 90th birthday on February and Sheridan Svendsen have been elected 17th. Congratulations to Mr. Ell from all of to serve on the Board of Governors of us in Central Supply. God willing, he may Good Samaritan Hospital. reach the one hundred mark. The Board is composed of 15 members, St. Patrick’s Day was a great day for the eight representing the Lnthern Welfare Irish, but, those of us, that are not Irish Socicty Board of Trustees and seven enjoyed it also. elected by a Valley committee to repre­ On March 17th three graduate Medical sent the Valley communities. Record Technicians, Mrs. Dorothy Hil- Other members includ C. W. Myhre, listad, Mrs. Goldie Crouch, and Miss Dee President; Paul Miller, Vice-President; Mrs. Sparkes took the National Accreditation Newell Hunt, Secretary; Tom Montgomery, Examination for Medical Record Techni- BULLETIN of the P i e r c e C o u n t y M e d ic a i. S o c ie t y 1 9 cians. If they pass this test they will be ciate or the Baccalaureate Degree pro­ able to write A.R.T. after their names sig­ grams. nifying that they are Accredited Medical The Maternity Department would like Record Technicians. to thank the hospital personnel along with The School of Nursing has been a “bee other visitors who came to “open house” in hive” of activity for many weeks in antici­ our department on March 17th. We hope pation of the survey for National Accredi­ all 200 and more of you enjoyed yourself. tation. The week of March 20th was the National Hospital Week is scheduled from big week that brought Miss Olga Krazinski, May 7th to 13th this year, perhaps we will assistant Director of the Department of see more of you then. Diploma and Associate Degree Programs, Lieutenants Call and Burkland of the city who was chosen by the N.L.N. to conduct fire department are enjoying the Fire Pre­ the survey. She reviewed school material, vention Classes very much and are pleased met with administrators, officers of the hos­ with the interest shown. Fire drills are in pital, Director of the School of Nursing the offing and we will need volunteers. and faculty. Mrs. Moe attended the fourth annual Western Conference on Nursing Education at the Biltmore Hotel in Los Angeles on Doctor-Lawyer March 9th and 10th. The theme of the con­ ference was “Gateways through Dilemmas Annual Dinner in Nursing”. Over 350 delegates represent­ FRIDAY, APRIL 14, 1961 ing 13 western states, Alaska, and Hawaii were registered. F1RCREST GOLF CLUB It is interesting to note that graduates Golf - Bridge - Prizes from Diploma schools needed far less orien­ tation than did graduates of either the Asso­ Refreshments 6 p.m. Dinner 7:30 p.m.

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Medical Arts Building Building Office: 110 Medical Arts Bldg. MArket 7-6441 METROPOLITAN BUILDING CORP., MGRS.

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Free Prescription Delivery BULLETIN of the Pierce County M edical Society 2 3 Classified Advertising Letters to the Guest Editor MEDICAL SPACES FOR RENT Dear Mrs. Adams: IN LAKEWOOD I am sorry that I did not see the show. It Two brand-new medical suites in new building in would have been interesting to compare Lakewood Professional Village, suitable for my reactions to it with the one you re­ part-time, full time, single or shared occu­ ceived. From what you have had to say pancy. Only one block from Lakewood Hos­ pital. Contact: Margaret Smith, Building No. about the show, it undoubtedly did not 2, Lakewood Professional Village, 5920 Lake present a full picture and therefore cannot Steilacoom Ave., Tacoma 99, Phone fU be said to be fully truthful. 8-5600. There is much activity and agitation back here in support of President Kennedy’s BUILDING SITE FOR CLINIC proposal for medical care for the elderly 150 by 130—Some buildings on it. Wonderful to be tied to the Social Security Law. Ap­ location for doctor’s clinic. For further infor­ parently, there is much activity elsewhere mation phone the Look Realty, BR 2-1131, in the country because members of Con­ Mr. Mikkelsen. gress are receiving many letters on the subject. FOR SALE BY OWNERS It is difficult to predict just what the REAL CHOICE HOOD CANAL WATERFRONT House Committee on Ways and Means will OR BACK LOTS—located on a beautiful do with Kennedy’s proposal. It is my under­ point, line pea gravel beach; private com­ standing that the Chairman of the Commit­ munity launching ramp; dock with float: private lodge and shop. SELECT YOUR LOT tee has refused to introduce legislation on NOW AT WINTER PRICES WITH AL­ this subject. This may indicate that he MOST ANY TERMS. . . . CALL OR personally is opposed to Kennedy's plan. WRITE Dr. C. Russell Perkins, Office, SK 2-4228; Home, SK 2-8123; 2613 No. 21st, A couple of members on the Ways and Tacoma, Washington. Means Committee have predicted that nothing will be done in the matter until next year. MEDICAL SPACE AVAILABLE LAKEWOOD CLINIC BUILDING Thank you for letting me have the benefit of your thinking. I have high regard for For information, call or write Mr. A. D. Camp­ bell, 10011 Gravelly Lake Drive, Tacoma. the medical profession and know that with Telephone JU 8-4433. few exceptions they render the kind of service vou have described in vour letter to CBS.' MEDICAL SPACE AVAILABLE TACOMA NORTH END Verv truly vours, TH OR C. TO LLEFSO N , M.C. New Medical-Dental Bldg.; completely equipped; on arterial street; in well populated residen­ tial area; off-street parking. Large reception Dear Mrs. Adams: office with business office adjoining (2 ) pri­ vate offices - six treatm ent rooms, laboratory, The question of TV programming has re­ (2) rest rooms, wide hallway. ceived a great deal of attention recently in For information, building plan, call or write Mr. Robt. Goldberg, 4320 N. 27th, Tacom a, the press and also by my Committee. Dur- Wn., days FU 3-3484 — eve. SK 9-7035. (Continued on page 25)

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f f l " ' ...... Mil 1 lilt m i M ill! Mil • m ill ■ llllllllllllQ l BULLETIN of the Pierce County M edical Society 2 5 ing the hearings on the nomination of ous illness. A total bill of S2,000 is far from Newton N. Minow to be Chairman of the unusual in such cases. We received many Federal Communications Commission the letters from people who said the medical subject of raising the quality of program­ costs stated were too low. One can argue ming was extensively discussed. He was about individual costs within that total— very pointed in his comments concerning as we also indicated—but that is less im­ the responsibility of the FCC in this field. portant than the central question we sought You can rest assured that I have read to bring out: anyone’s finances can be deci­ your letter with a great deal of interest and mated by an unexpected serious ailment. will keep this subject matter in mind when­ Even though you are critical of us, wc ever the Committee covers this area. value your judgments. Sincerely yours, Sincerely, WARREN G. MAGNUSON, U.S.S. STEPHEN FLEISCHMAN, Producer, CBS REPORTS Dear Mrs. Adams: “T i-ie B u sin ess o f H e a l t h ” I appreciate having the benefit of your thinking on this legislation and will have Dear Mrs. Adams: your views in mind when the Senate con­ I am certain that you realize that Secre­ siders the various health insurance tary Ribicoff has no connection with the measures. presentation of the CBS Reports program Sincerely yours, which you found so objectionable. His par­ HENRY M. JACKSON, U.S.S. ticipation consisted only of advancing cer­ tain political philosophies which he feels. Dear Mrs. Adams: I am also certain that you are willing to Thank you for your letter about our CBS have him express his political views with Reports program THE BUSINESS OF the same freedom that exists for you. HEALTH. Sincerely yours, I am sorry that you were not satisfied WALLACE TURNER, with our treatment of the subject. Our only Assistant ot the Secretary purpose was to present all significant view­ Dept, of Health Education and points so that the viewer can, as you did, Welfare make up his own mind. W e also received Ed. Note: Apparently Mr. Turner shares many letters from viewers praising the pro­ with Secretary' RibicoE the notion that gram. It is our aim to stimulate viewers— political views and political ideas outweigh to provide them with contrasting view­ realistic appraisal of the facts and the points from which they can make their own awareness of the human dignity acquired selection. by individual acceptance of responsibility. In regard to the costs we mentioned, we But it is significant, it seems, that the Office were not setting an average or median. We of the Secretary did acknowledge Mrs. were, as we clearly stated, illustrating what Adams’ letter while the office of the A.M.A., can happen to anyone stricken with a seri­ did not. Perhaps the A.M.A., has become so important that it has no time for mere people. —Ed.

TACOMA GENERAL HOSPITAL presents OVERWEIGHT? “JANUS” 1012 HOUR HUNGER CONTROL WITH (players from Tacoma Little Theater) NO REPORTED CONTRAINDICATIONS at JACKSON HALL TENUATE'DOSPAIf Friday, May 12, 1961 . . . 8:15 p.m. (By invitation only) Proceeds go to Tacoma General Hospital 2 6 ______BU LLETIN o f the P i e r c e C o u n t y M e d i c a l S o c i e t y

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Dealers for— HAMILTON OFFICE EQUIPMENT LIEBEL-FLARSHEIM DIATHERMY AND ELECTROSURGICAL EQUIPMENT C. R. BARD UROLOGICAL INSTRUMENTS BURDICK PHYSIO-THERAPY EQUIPMENT CAMBRIDGE ELECTROCARDIOGRAPHS WILMOT CASTLE STERILIZERS AND LIGHTS SKLAR, HASLAM AND LAWTON SURGICAL INSTRUMENTS BULLETIN o f the Pierce County M edical Society 27 Baseball Fans . . . 1:36 Brow'll, William C. 13S Burrows, William Attention!!! 139 Burt, Robert R. As the blossoms give way to tender 140 Buttorff, Douglas P. green leaves and the shout of “batter up” 141 Cameron, Walter C. echoes across the drying field, the doctor. 142 Camp, Harry W. for whom there is no escape from a call to 143 Clark, Thomas H. die stadium and a call from a patient, will 144 Clay, Homer T. find in the following list the call number 145 Colen, John which was forgotten in the bluster of winter 146 Colley, Russell Q. and by which he may be contacted without 147 Comfort, John F. threat of accusation that he uses the Cheney 14S Coon, Duane A. Field speaker system for advertising. The 149 Crabill, Robert P. first home games will see battle with Spo­ 150 Cummings, Don kane April 21, 22, and 23. 151 Davis, Richard T. Newer doctors will find their names at 152 Dayton, D. M. or near the end of the list, but if vou don't 153 Delaney, G. A. find your number call the Medical Society 154 Deming, J. Edmund office, MA 7-2020. 155 Denzler, Charles H. Call No. Doctor 156 Dietrich, Carlisle 101 Adams, Samuel E. 157 Dille, Rodger S. 102 Allison, Claris 158 Di Furia, Giulio 103 Allison, Donald F. 159 Dimant, Stevens S. 105 Anderson, Edward R. 160 Doherty, Dale D. 106 Anderson, Horace A. 161 Drucker, Gerhart A. 107 Annest, Leo 162 Duerfeldt, Treacy 108 Apa, Theodore 163 Duffy, James P. 109 Arnold, Charles B. 164 Durkin, L. Stanley 110 Avery, William E. 165 Dye, David F. 111 Backup, Phillip H. 166 Ehrlich, Albert 112 Bader, Bernard A. 167 Ellis, Raymond C. 113 Banfield, Ernest F. 16S Eltrich, Martin C. 114 Barronian, Richard F. 169 Erickson, J. J. 115 Baskin, Lester S. 170 Eylander, Edward S. 116 Bass, Myron A. 171 Fairbourn, Edwin J. 117 Batey, George 172 Fargher, Cecil R. 118 Benson, Joseph A. 173 Ferguson, Robert M. 119 Betteridge, Bryce 174 Florence, Robert W. 120 Bias, Robert 175 Flynn, John R. 121 Bischoff, G. W. 176 Freeman, Robert M. 122 Bland, Leland J. 177 Frese, Amaly 123 Blankenship, James 178 Galbraith, Charles J. 124 Blizard, Eldon C. 179 Gav-Balmaz, Rene 125 Bogue, Charles R. 180 Geissler, Gerald 126 Bond, Robert G. 1S1 Gerstmann, Paul E. 127 Bondo, Paul E. 182 Gibson, Robert H. 128 Bonica, John J. 183 Goering, William H. 129 Boudwin, James W. 184 Granquist, Carl O. 130 Bowen, J. W. 185 Grenley, Philip 131 Brigham, Lawrence 186 Griffin, Hillis F. 132 Brokaw, Glenn H. 187 Gross, Kenneth E. 133 Brooke, J. Robert 188 Guilfoil, Erna 134 Brown, Burton A. 189 Gullikson, John W. 135 Brown, Robert W. 190 Hadfiekl, Dale 2 8 BU LLETIN of the Pierce County M edical Society

C all No. D octor C all No. D octo r 191 Haley, T. R. 244 Larson, Charles P. 192 Hanson, Eugene W. 245 Larsen, Virginia L. 193 Harrelson, Orvis A. 246 Lasby, Joseph O. 194 Harrington, B. D. 247 Lawley, Thomas B. 195 Harris, Joseph B. 248 Lawrence, Mills E. 196 Hathaway, Stillman 249 Lee, Jack W. 197 Hauser, W illiam P. 250 Liewer, John P. 198 Havlina, John M. 251 Light, Samuel E. 199 Hazelrigg, James E. 252 Link, Richard B. 200 Heaton, A. B. 253 Ludwig, W illiam H. 201 Hellyer, David T. 254 Lueken, Harold D. 202 Hennings, Frank W. 255 Lundvick, Cyril V. 203 Herrmann, Arnold J. 257 McBride, Glenn 204 Herrmann, S. F. 258 McCabe, Edward F. 205 Hess, George H. 259 McColl, C. R. 206 Hoover, Galen H. 260 McCoy, Charles C. 207 Hosie, M. R. 261 M cGill, Charles M. 208 Hoskins, Franz P. 262 McGreal, Robert 209 Houtz, Dudley W. 263 McKay, Donald F. 210 Howe, Archibald W. 264 McNerthney, James E. 211 Hoyer, Louis P. 265 McNutt, Harlan P. 212 Hovt, W allace P. 266 McPhail, Ross E. 213 Huff, Ralph H. 267 McPhee, William 214 Humiston, Homer W. 268 Macklison, Frank R. 215 Hunt, Leo J. 269 Magnussen, Norman E 216 James. Frank J. 270 Maier, Haskel L. 217 Jarvis, Joseph B. 271 Maire, Frederick W. 218 Johansson, Arnold W. 272 Maki, Henry E. 219 Johnson, David H. 273 Malden, Marcel 220 Johnson, Murray L. 274 Mandeville, Jack W. 221 Johnson, Robert C. 275 Marlatt, D. A. 222 Johnston, Harold B. 276 Marshall, Charles E. 223 Jones, Scott S. 277 Mattson, William W, Jr- 224 Judd, Herman S. 27S May, Charles W. 225 Kahler, Harold F. 279 May, John S. 226 Kalkus, J. Hugh 280 Meier, H. Herbert 227 Kallsen, Robert 2S1 Moosey, George A. 228 Kanar, Edmund A. 282 Leonard 229 Kanda, John M. 230 Kass, Myron 231 Kemp, Charles E. 232 Kemman, John F. 233 Kennedy, Herbert C. BEALL’S 234 Kittredge, George S. 235 Klein, Robert 236 Kohl, Gerald C. The Prescription Store 237 Kohler, D. G. 238 Kunz, George G. R. 124 Meridian South 239 Kyle, Philip C. 240 Lane, Robert E. PUYALLUP 241 Lantiere, S. Robert Phone Puyallup 5-8444 242 Lantz, Calvin R. 243 Larkin, Hugh A. BULLETIN of the Pierce County M edical Society 2 9

Call No. Doctor Call No. Doctor 283 Muir, Edwin C. 335 Snyder, M. E. 284 Murphy, Thomas O. 336 Sobba, Walter L. 285 Murphy, Vincent M. 337 Srail, John 286 Murray, Douglas H. 33S Staatz, Dumont 287 Nace, F. M. 339 Staatz, Karl 288 Nelson, Everett P. 340 Steele, John F. 341 Stevens, Cletus I. 289 Nevitt, Donald 342 Stuen, Marcus R. 290 Niethammer, W. A. 343 Sturdevant, Kenneth H. 291 Norton, R. A. 344 Sulkosky, Leo 292 O’Connell, Robert A. 345 Sullivan, William S. 293 O'Leary, Arthur P. 346 Tanbara, George A. 294 Ootkin, B. N. 347 Teats, Govnor 295 Osborne, Robert YV. 349 Thomas, Daniel J. 296 Paine, Frederic O. 350 Thomas, Leon B. 297 Parrott, Gordon 351 Thomas, Max S. 298 Parrott, Miles 352 Thordarson, S. Stefan 299 Peters. Frederick M. 353 Thuline, H. C. 300 Peterson, Wendell G. 354 Todd, William H. 301 Pinto, Sherman S. 355 Treleaven, Joseph 302 Piper, Clinton A. 356 Trimble, Charles G. 303 Pratt, WT. Howard 357 Tuell, Stanley WT. 304 Race, George A. 358 Vadheim, Stanley W. 305 Rademaker, William 359 Van Dooren, Hugo 306 Randolph, Ernest L. 360 Vaught, Charles R. 307 Read, Jess W. 361 Vimont, Richard T. 308 Reberger, Charles C. 362 Vegli, Julius 310 Reynolds, Chris C. 363 Vozenilek, Myra 311 Rich, Richard I. 364 Vozenilek, Z. |oseph 312 Rigos, Frank J. 366 Wahlberg, Elmer W. 313 Ritchie, C. B. 367 Walloch, Antone 314 Robertson, J. B. 368 Ward, James F. 315 Robson, John T. 369 West, Thomas R. 316 Rosenbladt, Louis M. 370 Whitacre, G. Marshall 317 Rosenbladt, William J. 372 Wicks, M. J. 318 Rowen. Bernard R. 373 Wickstrom, Arthur P. 319 Sames, A. A. 374 Willard, Don G. 320 Sanderson, Stevens S. 375 Wright, Ross D. 321 Scheyer, Carl J. 376 Yoachim, M. 322 Schultz, Alfred W. 377 Yoder, Edwin C. 323 Schwind, Frederick J. 378 Zimmerman, Wayne W. 324 Sever, Buel L. 379 Spaulding, William L. 325 Shaw, John M. 3S0 Winters, Peter V. H. 326 Sheppard, John A. 381 Tait, Douglas A. 327 Shovlain, Frank E. 382 Kumasaka, Yukio 328 Skinner, Lawrence E. 383 Alger, John R. 329 Skrinar, Thomas H. 384 Chambers, Robert M. 330 Sleep, Somers R. 385 Gilman, George C. 331 Smeall, Thomas A. 386 Larsen, Marion Martha 332 Smith, Paul B. 387 Rohner, William L. 333 Smith, Theodore J. 388 Sparling, David L. 334 Smith, Warren F. 389 Hori, Kiyoakv

BULLETIN o f the Piebce County M edical Society 3 1

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BULLETIN of the Pierce County M edical Society 3 3 Letter to the Editor all. We should, however, follow closely the precautions in the Lederle circular en­ Dear Editor, closed with the drug and if toxicity should be detected we should utilize the consid­ I wish to call attention to the article on erable experience many local physicians the use of parental thio-TEPA (TSPA ) have had using the drug palliativelv. combined with radical mastectomy in the From the literature it is clear ( and we April 3rd issue of Newsweek. It is another are so advised by Moore) that we should deplorable instance where the public has not use it as an adjuvant to surgery on been prematurely informed of a medical tumors other than breast at this time. Also, advancement before it has been fully re­ it should not be given to anyone over ported in the medical literature. As a con­ seventy. sequence, many of us will be questioned about it by patients thereby causing prob­ One recent comment on this therapy is lems. Some of us will be stimulated by this worth quoting. Henry T. Randall (S. G. & article to begin using it since it was “recom­ O., Feb. '61, Pg. 24S) says: “The results mended for routine use by all surgeons” at . . . with breast cancer are startling. the recent American Surgical Association . . these early results are highly sug­ meeting. This is not bad provided we are gestive that in this particular setting in this sufficiently informed about its proper usage. particular disease, we may at last have A few of us locally have been using it in something that will supplant our ability this way over the past year or so but I with surgery and radiation therapy to affect doubt that any of us has had over eight at least the immediate mortality of human cases. breast cancer." —Ted Haley, M.D. The literature contains very little about the adjuvant use specifically in breast E d . N o t e : Dr. Haley’s timely letter ar­ surgery. The full preliminary report (26 rived only a few days before the publica­ month followup) on the adjuvant breast tion of the report, “Status of Adjuvant group by the VA hospitals and medical Cancer Chemotherapy” from The Veterans schools has not yet appealed but it will be Administration Cancer Chemotherapy Co­ published later on this year in the Annals operative Group, Arch. Surg., 82:466 of Surgery. Meanwhile dosage and morbid­ (March ’61). For those concerned with ity information on their series is hard to the problem, this preliminary report is a find. However, a letter from Dr. Moore must on the reading list. The authors share last month (M arch) recommends using Dr. Haley s concern with the indiscrimin­ “eight tenths of a milligram per kilogram ate use of alkylating agents in any and all of normal body weight. This should be types of cancer surgery and point up the given in four equal doses of two tenths of a hazards of conclusions based on small milligram per kilogram per day.” The total series studies. Even though Newsweek in­ dose over the four days should therefore dicates that it is “recommended for routine rarely exceed fifty milligrams. I am not use by all surgeons”, thio-TEPA is not aware of any bone marrow depression in innocuous. —Ed. our cases and I believe that with this small dosage it should be unusual. And I doubt there have been any deaths attributable to this dose in the adjuvant breast group at PATRONIZE YOUR ADVERTISERS 3 4 BULLETIN of the Pierce County M edical Society

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Pierce County Medical Society BULK RATE Medical Arts Building Tacoma 2, Washington U. S. POSTAGE PAID TACOMA, WASH. PERMIT No. 300

MONTHLY MEETINGS STAFF OF DOCTORS HOSPITAL OF TACOMA Second Monday of March, June, Sept., Dec.—7:30 p.m. Auditorium of Medical Arts Bldg. STAFF OF GOOD SAMARITAN Second Monday of March, June, Sept., Dec.—6:30 p.m. STAFF OF NORTHERN PACIFIC Second Monday of each month—noon. STAFF OF ST. JOSEPH'S Third Monday of March, June, Sept., Dec.—6:15 p.m. STAFF OF MOUNTAIN VIEW GENERAL HOSPITAL Last Monday of February, June, September and November TACOMA ACADEMY OF PSYCHIATRISTS and NEUROLOGISTS First Tuesday of each month—8:30 p.m. Board Room of Pierce County Medical Society PIERCE COUNTY MEDICAL SOCIETY Second Tuesday of the month except June, July & August — 8:15 p.m. STAFF OF TACOMA GENERAL First Tuesday of March, June, Sept., Dec.—6:30 p.m. TACOMA SURGICAL CLUB Third Tuesday of each month—6:30 pjn. at Tacoma Club TACOMA ACADEMY OF INTERNAL MEDICINE Fourth Tuesday of each month—6 p.m. at Tacoma Club TACOMA ACADEMY OF GENERAL PRACTICE Fourth Monday of each month except June, July & August —6:30 p.m. at Honan's PIERCE COUNTY PEDIATRIC SOCIETY First Friday of each month except June, July and August STAFF OF MEDICAL ARTS HOSPITAL Third Friday of March, June, Sept., Dec.—7:15 a.m. at New Yorker Cafe. STAFF OF MARY BRIDGE CHILDREN'S HOSPITAL Fourth Friday of March, June, Sept., Dec.— 12:15 p.m. BULLETIN PIERCE COUNTY MEDICAL SOCIETY BU LLETIN of the Fierce County Medical Society Pierce County Medical Society

1961 OFFICERS President . . Chris C. Reynolds President-Elect ...... G. Marshall Whitacre Vice-President...... ^.Robert M. Ferguson Hap-py birth • day to you, Secretary-Treasurer...... Arnold J. Herrmann Executive Secretary______Judy Gordon

TRUSTEES Glenn H. Brokaw Chris C. Reynolds Dale D. Doherty Cyril B. Ritchie Happy Birthday Robert M. Ferguson Frederick J. Schwind Arnold J. Herrmann John M. Shaw George S. Kittredge Stanley W. Tuell Robert W. Osborne G. Marshall Whitacre M ay

D E L E G A T E S Douglas P. Buttorff George S. Kittredge 3 BERNARD BADER Arnold J. Herrmann Stanley W. Tuell Herman S. Judd Wayne W. Zimmerman HERMAN JUDD ALTERNATE DELEGATES Charles R. Bogue Robert W. Florence WENDELL PETERSON Glenn H. Brokaw Glenn G. McBride Robert M. Ferguson Frederick J. Schwind

COMMITTEES 4 CHARLES VAUGHT Ethics Miles Parrott, Chairman ANTONE WALLOCH Haskel L. Maier William H. Goering G rievance Cyril B. Ritchie, Chairman J. W. Bowen, Jr. Herman S. Judd 6 ALBERT EHRLICH Program Robert C. Johnson, Chairman MARCUS STUEN Robert A. O’Connell Buel L. Sever L ib rary S. Robert Lantiere, Chairman JL Edmund Deming Haskel L. Maier 7 RICHARD BARRONIAN Dudley W. Houtz John F. Steele Public Health STEVENS SANDERSON Max S. Thomas, Chairman Charles McGill George A. Tanbara Public Relations 8 ORVIS HARRELSON Robert M. Ferguson, Chairman Kenneth E. Gross John M. Shaw Arnold J. Herrmann George A. Tanbara Arthur P. Wickstrom 9 S. F. HERRMANN House and Attendance William E. Avery, Chairman JOSEPH LASBY Eugene Hanson Haskel L. Maier Civil Disaster David T. Hellyer, Chairman Richard B. Link Leo F. Sulkosky 11 LELAND BLAND John M. Shaw Arthur P. Wickstrom T. R. Haley Charles E. Kemp D iabetes 12 C. R. FARGHER Edwin J. Fairbourn, Chairman Frank W, Hennings John S. May THOMAS B. MURPHY Entertainment Samuel E. Adams, Chairman L. S. Durkin Robert M. Ferguson Robert A. Kallsen 17 JULIUS VEGH Geriatrics John F. Comfort, Chairman William P. Hauser William McPhee Leonard Morley IS E. C. MUIR Legislative Wayne W. Zimmerman, Chairman JOHN ROBSON Douglas P. Buttorff Charles C. Reberger John M.Shaw Medical Education 19 DOUGLAS BUTTORFF Elmer W. Wahlberg, Chairman Glenn H. Brokaw Clinton A. Piper Schools R. A. Norton, Chairman 20 ROBERT CHAMBERS Theodore Apa George S. Kittredge Orvis A. Harrelson Jack W. Mandeville WILLIAM ROSENBLADT George A. Tanbara Traffic and Safety Albert Ehrlich, Chairman 23 M. J. WICKS Mental Health William H. Todd, Chairman James W. Boudwin Hugo Van Dooren 28 GEORGE GILMAN Bulletin Staff Editor.. ------.------Charles C. Reberger Business Manager______JudyGordon Auxiliary News Editor ______Mrs. Herman S. Judd 31 HUGH LARKIN without steroids this arthritic miner might still be spoon-fed

on M e t i c o r t e n , he has worked steadily for six years with no serious side effects

J. G.’s rheumatoid arthritis started in 1949 with severe and unremitting pain in his shoulders. Later, his wrists, elbows, feet and hands became involved with swelling and loss of function. By 1951, when he was 45, the patient was helpless and had to be fed and dressed by his wife. He was frequently hospitalized during the next three years. Hydrocortisone failed to make any change in his condition.

On April 2, 1955, the patient was placed on

M e t i c o r t e n and im­ proved promptly. Two weeks later he stated, “I feel very well now.” He was able to go back to work as a mine electri­ cian that year and had no difficulty driving a car.

For the past six years, he has been maintained on

M e t i c o r t e n 5 mg. two or three times a day. There have been no side effects. The patient has not lost any work time, nor has he had to limit his activities in any way.

Case history courtesy of Joel Goldman, M.D., Johnstown,Pa* These photographs of Dr. Goldman’s patient were taken on November 10,1960.

M e t ic o r t e n ,® brand of prednisone.

SCHERING CORPORATION • BLOOMFIELD, NEW JERSEY 4 BU LLETIN o f the Fierce County Medical Society

REGULAR MEETING

PIERCE COUNTY MEDICAL SOCIETY Tuesday, May 9

MEETING . . . 8:15 P.M.

MEDICAL ARTS BUILDING AUDITORIUM

# # S

PROGRAM

REVEREND EINAR PETERSON A missionary to Cuba for the past 20 years, Rev. Peterson was forced out of the country in December, 1960.

His subject will be . . . “CUBA - PAST, PRESENT AND FUTURE”

* # *

A no-host social hour and dinner will precede the meeting Social Hour: 6:00 Dinner: 6:45 Place: Honan’s Restaurant 739V2 St. Helens BULLETIN of the Pierce County M edical Society 5

WILL YOUR INVESTMENTS STAY PSHAP

Vacation trips and long summer weekends on the horizon! Good times ahead—especially if you can really relax, knowing your stocks and bonds don’t lack attention. Here’s how . . . Open a Custody account with us— a quick and easy step. W e’ll handle all your routine investment chores . . . watch for stock sub­ scription deadlines and bond maturity dates . . . keep your securities vault-safe, yet instantly available to you. Custody is a year-in, year-out convenience. Look into it now—before your pre-vacation rush. 6 BU LLETIN of the Pierce County M edical Society May Calendar of Meetings

MONDAY TUESDAY WEDNESDAY THURSDAY FRIDAY

1 2 3 4 5

C.P.C. of St. Jo e’s Tac. Acad, of C.P.C. of T.G. 9 :0 0 a.m. Psych. & Neurol. H osp.— 8:30 a.m. 8 :3 0 p.m. Pieroe County Pediatric Society

8 9 10 11 12 Staff of N.P. Noon PIERCE COUNTY C.P.C. o f T.G. C.P.C. of St. Joe’s M.D. Annual MEDICAL Hosp.— 8:30 a.m. 9 :0 0 a.m. Bowl-E-Rama SOCIETY Tower Lanes 8:15 P.M. 9 :0 0 p.m. 15 16 17 18 19

C.P.C. of St. Joe’s Tacoma Surgical C.P.C. o f T.G. 9 :0 0 a.m. Chib—6:30 p.m. Hosp.— 8:30 a.m. P.C.M.B. Board of Trustees—8 p.m.

22 23 24 25 26

Pierce County Tacoma Academy Chapter A.A.G.P. of Internal C .P.C . of T.G. C.P.C. of St. Joe’s 6 :3 0 p.m. M edicine Hosp.— 8:30 a.m. 9 :0 0 a.m. 6 :0 0 p.m.

29 30 31

MEMORIAL DAY

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What does high "ABA” mean to you? High serum levels of antibacterial activity mean fewer treatment failures in severe infections or in infections only marginally sensi­ tive to penicillin. In other words, high “ABA” means . . . consistently dependable clinical results

V-CILLIN K (penicillin V potassium, Lilly) intense antibacterial activity V-Cillin K produces greater anti­ Now at lower cost to bacterial activity in the serum your patient against the common pathogens Prescribe V-Cillin K, in scored than any other oral penicillin.1-8 tablets of 125 and 250 mg., or unsurpassed safety I V-Cillin K, Pediatric, in 40 and 80-cc. bottles. No form of penicillin has been shown to be less allergenic or less toxic than V-Cillin K > 5 References 1. McCarthy, C. G., and Finland, M.: Ab­ sorption and Excretion of Four Penicillins, proved clinical effectiveness i New England J. Med., 2 6 3 :315, 1960. 2. McCarthy, C. G., Hirach, H. A., and Documented experience with Finland, M.: Serum Levels after Single Oral Doses of 6-{a-phenoxypropionamido) penicillin V and potassium peni­ Penicillanate and Penicillin V, Proc. Soc. Expcr. Biol. & Med., 1 0 3 :1 7 7 , 1960. cillin V reveals the clinical excel­ 3. Griffith, R. S.: Comparison of Antibiotic Activity in Sera after the Administration lence of V-Cillm K. of Three Different Penicillins. Antibiotic Med. & Clin. Therapy, 7:129, 1960. Eli Lilly and Company 4. Editorial: New England J. Med., 26 3 : 361, 1960. 5. Editorial: New York J. Indianapolis 6, Indiana, U.S.A. Med., 60:498, 1960. 8 B U LLETIN of the Pierce County M edical Society

EDITORIALLY SPEAKING

NATIONAL HOSPITAL WEEK -1961

May 7-13 has been set aside for National Hospital Week for 1961. The Public Information Division of the American Hospital Association has estab­ lished the theme of “Your Hospital—A Community Partnership.” The A.H.A. points out that the hospital and the community have a reciprocal relationship: neither can be really healthy without the other.

The A.H.A. states that the hospitals responsibilities are patient care, edu­ cation of health personnel, research and preventive medicine and that the community should support the hospital by volunteering of personal service, encouraging young people to enter health careers, participating in a pre-payment program such as Blue Cross, which helps assure stable financing of hospitals, supporting programs for adequate reimbursement of the hospital by state and local governments for the care of welfare patients, and keeping informed about the hospitals’ problems, plans and progress.

One wonders, amidst these fine sounding phrases, just where the physician occupies a spot. The only place “physician’' is mentioned in the press releases is in the sentence, “All physicians and nurses receive part of their training in the hospital.” Possibly the A.H.A. would just as soon put aside the fact that the doctor is somehow related to the services provided in a hospital so that some of the recent anti-private practice propaganda might be more exclusively directed at doctors alone. This, particularly, since most of the news “revelations” about doctors dwell on the hospital expenses more than they do the doctor bill in computing the high cost of medical care for which doctors are blamed. But for publicity purposes the A.H.A. gives the impression, at least, that the hospital takes care of patients, researches and practices preventive medicine all by itself.

Concern is also caused by the specific endorsement of Blue Cross this year by the A.H.A. and the eagerness with which the A.H.A. is supporting any program of the pouring of government money into the hospitals’ till.

One very difficult problem which hospitals must face is whether they really wish to remain individual, non-profit, physician-community enterprises or become appendages of national pre-payment and government health programs. This year’s call to the people from the A.H.A. seems to be an attempt to do both.

Remember National Hospital Week.

—E d i t o b BULLETIN of the Pierce County M edical Society 9

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Write for Sample PACIFIC PAPER PRODUCTS, INC. and Information 1015 SOUTH 12th ST. • TACOMA 5, WASHINGTON • U.S.A. 10 B U L L E T I N of the Pierce County M edical Society WOMAN S AUXILIARY % Pi&ice GfHuotq. M edical £acietif East Cromwell sign and proceed about a AUXILIARY OFFICERS— 1960-61 mile. There will be flags out and a sign President ____ Mrs. J. Robert Brooke —to tell you you have reached a safe moor­ President-elect______Mrs. Kenneth E. Gross 1st Vice-President...... Mrs. M. E. Lawrence age. Pat Flynn is chairman for the lunch­ 2nd Vice-President______Mrs. Robert C. Johnson eon, with the assistance of Beth Hennings. 3rd Vice-President . _.Mrs. Dudley Houtz Nancy O’Leary, Lorraine Kunz, Janet Mar- 4th Vice-President ...... Mrs. Carl O. Granquist Recording Secretary...... Mrs. Orvis A. Harrelson latt, Georgia McPhee, Sheila Dimant and Corresponding Secretary______Mrs. Charles M. McGill Margaret West will serve on the commit­ Treasurer ...... Mrs. Haskel M aier tee. The program, under the direction of Assistant Treasurer______Mrs. Glenn H. Brokaw Hazel Whitacre, will be a “fashion show COMMITTEE CHAIRMEN on the do’s and don’ts of water safety”— Amorioan Medical Education Foundation ...... Mrs. Robert C. Johnson but at this writing, due to the difficulty in National Bulletin ______„.Mrs. Dudley Houtz finding props, we are unable to tell you Civil Defense...... Mrs. Arthur P. Wickstrom H istorian^...... Mrs. Fay Nacc who will be participating. It does sound Legislative______Mrs. Donlike Willard lots of fun and we will see you there. Membership- ...... Mrs. Glenn H. Brokaw and Mrs. Galen Hoover Board Meeting Nurse Recruitment______Mrs. Edward S. Eylander Our president, Ruth Brookes, has called Paramedical ...... Mrs. Wayne Zimmerman a Board meeting for the morning of May Program —...... Mrs. Herbert C. Kennedy Publicity— 12th at 10 o’clock. This will be in the home New spaper...... Mrs. Robert R. Burt of Lorna Burt—and don’t be misled by the Bu lletin ...... Mrs. Herman S. Judd Revisions-...... Mrs. Dale D. Doherty address . . . which is 6638 Hilltop Lane, S a fe ty -______„______Mrs. Jack Mandeville S.W. You go out Nyanza Road and when S ocial...... Mrs. G. M. Whitacre you reach the area with a high embankment Speakers Bureau______Mrs. Philip Grenley Telephone ...... Mrs. Richard B. Link to your left, watch for their mailbox on Today's Health______Mrs. M. E. Lawrence the left but then turn right toward the Minute Women...... Mrs. Hillis F. Griffin Community Service ______Mrs. Jess Read lake. Please be prompt, as there is much H eart______Mrs. Edward R. Anderson to be discussed and settled at this meeting. Community Council ...... Mrs. John F. Steele Neio Arrivals P toan ce...... _M rs. Joseph B. Harris D ance______Mrs. Robert W. Florence Steven Andrew Kennedy surprised every­ Fashion Show...... Mrs. Thomas B. Murphy body, particularly Nadeen and Herb, by Game Night.______Mrs. Dudley Houtz arriving early—on the 18th of April. He Midyear Conference ...... Mrs. Joseph B. Harris weighed in at -iVz pounds and so had to remain in the hospital a little longer than his Mom, but is eating “like a little chow The last meeting of the 1960-61 year will hound.” be a “Beachcombers Luncheon” at the We really missed on an item of news in home of Jan Moosey on Wollochet Bay. January. The Taits of Buckley, welcomed This will be at 12 o’clock and we are hop­ not one, but two babies on December 31st, ing for a “bee-u-ti-ful” day. We are asked 1960, and (this will make Dud Houtz to meet at the parking lot of the Narrows green) they had a girl and a boy! Garnett Bridge at 11:30 so that we can junction on and Garth and their Mom and Dad are due transportation. And here are the instruc­ our apologies—-and our congratulations! tions as to how to find the Moosey’s home. At the west end of the bridge, turn left at the Span Drive-In and follow the road over Please let us know your vacation plans the hill. There will be a Stop sign even­ so that the June Bulletin can contain a tually, where you will cross the highway chatty, newsy epistle with which to round and turn right, following the Wollochet out the year. Thank you. Bay sign. Keeping the bay to your left, you follow around. When you reach a branch road, still keep to the left, following the PATRONIZE YOUR ADVERTISERS BULLETIN of the Piebce County M edical Society 11

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Tacoma, Washington 12 BU LLETIN of the Pierce County M edical Society

ter; Mrs. Mary Winkler, R.N., a daughter; HOSPITALS. . . and Mrs. Mary Louise Taylor, a son. The new glass doors on the South end of Maternity sure add a touch of luxury and St. Joseph's we are now able to see into Pediatrics. The Medical Record Department would National Hospital Week, May 7-13 means like to extend sincere congratulations to open house which will be from 1 p.m. to 4 Mrs. Goldie Crouch and Miss Dee Sparkes p.m. All are invited to come and bring a who recently got word that they passed friend. their National Examination and are now The Freshman class worked for weeks Accredited Record Technicians. preparing for the “Open House” which On Friday, April 29th Medical Record was held to introduce prospective student Technician students, Miss Ann Roberts nurses to our school. Tours were held and Miss Janene Duey accompanied by through the hospital and nursing home, Miss Sharon Weinreich and Miss Dee experiments performed in the lab, and a Sparkes attended the Washington State smorgasbord was held afterward. Convention of Medical Record Librarians Sisters Marie Magdala, Philomene Marie, held in Longview. There were many inter­ Othelia, Columba, Rose Eileen and Evelina esting speakers and much information was attend the Convention of Western Hospitals gained. held in San Francisco April 23-27. The combined graduation of Medical Pediatric Department played host to Technology and Medical Record Techni­ many of the medical staff. We had the en­ cian students will be held at St. Joseph on joyment of caring for Kathy Coon, daugh­ May 20th. A High Mass will be celebrated ter of Dr. and Mrs. Coon, John Smeall, son in the hospital Chapel followed by break­ of Dr. and Mrs. Smeall, and Diane and fast in the Cafeteria for the graduates. Michelle Lasby, daughters of Dr. and Mrs. The Pharmacy would like to extend a Lasby. word of welcome to their new pharmacist, Former RN’s of our department have Miss Irene Chikata. Irene graduated from also had their little ones with us; Tom Zur- the University of Washington College of fluh son of Bonnie Zurfluh and Marty Pharmacy just a year ago. St. Joseph is very Guirsh, son of June Guirsh. happy to have her and it is our hope that Have you seen the new Patient/Person­ her stay with us will be long and fruitful. nel Library yet? During May it will be Surgery II is getting a new look with open regularly during the afternoon coffee lowered ceilings, indirect lighting, stain­ break to give you a chance to get ac­ less steel cupboards with sliding glass doors quainted with the fine and exciting books and dual spodights. We are grateful to that are available to our St. Joseph person­ everyone helping to make this improvement nel. The library is located right next to the a reality. cafeteria in the old record room. A party was held in honor of Doctor Fornusek who left in April to tour Europe and take some important examinations. Everyone is enjoying the new addition to our culinary department in the form of a new 50 cup percolator from Western Clinic. Many thanks for your generosity. OVERWEIGHT? The May meeting of the Catholic Nurses 10-12 HOUR HUNGER CONTROL WITH will be held here at St. Joseph in the school L E S S T H A N \% CNS STIMULATION of nursing lounge. The topic will be Catho­ lic Charities. We would like to extend congratulations TENUATEDOSPAN to the following: Mrs. Patricia Gearhart, R.N., a son; Mrs. Betzendorpher, a daugh­ BULLETIN of the Pierce County M edical Society 13

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C.0.LYNNC0. Providing Fine Funeral Services Since 1905 717-719 Tat. Ave. So. Phone MA 7-7745 1 4 BULLETIN of the Fierce County M edical Society Please Tear Out and Post

PIERCE COUNTY MEDICAL SOCIETY PLAN FOR CIVIL DISASTER

In case of disaster of any magnitude, the MEDICAL DISASTER PLAN may be initiated lay either of the following methods: A. The Sheriff's office, the office of the State Patrol, the City Fire Depart­ ment, the City Police Department, or any other responsible agency shall notify the PHYSICIANS EXCHANGE (RR 2-3166) of the occur­ rence of the disaster, its location, estimated number of casualties, and other pertinent data. B. Any hospital whose emergency room capacity is taxed to the point of overloading, and/or when additional information indicates that casualties are arriving from unaccounted sources, may notify the PHYSICIANS EXCHANGE.

I. THE PHYSICIANS EXCHANGE will then: a. Notify a doctor listed as a member of the Civil Disaster Committee who will evaluate the situation. b. In the meantime, the operator at the Physicians Exchange will locate the scene of disaster on the map provided and mark it with a red cross. Numbered thumb tacks immediately adjacent to this area will be identified on the numbered list of doctors placed as a legend on the map. The tacks will be located on 2 maps, one for nights and week-ends depicting the doctor’s residence; the other, for daytime use, depict­ ing offices. c. The Disaster Committee Chairman or his designee will be con­ sulted for extent of the alert status. d. A number of doctors (established by the Committee member) in the immediate area will be dispatched to the site by announcing “Disaster at . . . location”, and advising them to report there to an identifiable official car immediately. e. The rest of die Civil Disaster Committee members will then be notified to proceed to their liaison posts at their assigned hospitals. Meanwhile, the first notified physician of the committee will have proceeded to the C. D. Headquarters controlling the site of the disaster, to establish liaison with other branches of C. D. f. Notify hospitals with code terms “Disaster, please establish your emergency plan.”

II. DOCTORS DISPATCHED TO THE SITE OF DISASTER BY THE PHYSICIANS EXCHANGE WILL: A. IMMEDIATELY PROCEED TO THE OFFICIAL CAR AND IDENTIFY THEMSELVES BY THEIR CIVIL DEFENSE IDENTI­ FICATION CARDS. THIS IDENTIFICATION MAY ALSO BE NECESSARY TO PASS THROUGH POLICE AND FIRE LINES. (Continued on page 19) BULLETIN of the Piekce County M edical Society 15 relieve

when due to cow's milk allergy

In a clinical study1 of 206 milk-allergic infants, FOR PREVENTION: When allergic tendencies the “colicky” symptoms evident in 31% were exist in parents or siblings, it is advisable to promptly relieved when the infants were placed start the “potentially allergic” newborn on Sobee. on a soya formula, FOR DIAGNOSIS: If cow’s milk allergy is sus­ pected, a 24- to 48-hour trial period with Sobee U Clein, N. W .: Pediat- Clin. North A m erica, Nov., 1954, pp. 949*962. often eliminates the need for an allergy study. specify

Bypoallergenic soya formula

Mead Johnson Laboratories Symboln of service in medicine ______BULLETIN of the Pierce County M edical Society

Please Tear Out DOCTOR’S CAL and Post MARY BRIDGE M l DOCTORS C H IL D R E N ’S MEDICAL ARTS GE HOSPITAL HOSPITAL HOSPITAL HO

ANESTHESIA .... D. Goodson E. Eylander P. Bac

S. Adams G. Drt GENERAL O. Harrelson I Hazi P R A C T IC E .... G. Hoc W. Rosenbladt R. Join

INTERNAL R. Kallsen H. Anderson R. Bar M E D IC IN E .... . T. Smith T. Duerfeldt R. Lar J. Harris R. O’C

NEUROSURGERY . . . ON CALL AT ALL HOSPITALS-—Dimant, Durkin, Chaml

OPHTHAMOLOGY . . . J. Bowen H. Camp G. Geissler R. Col

ORTHOPEDIC W. Goering D. Staatz D. Murray D. Alii SU R G ER Y ...... W. Zir

PA TH O LO G Y .... C. Larson C. Reberger C. Lar

L. Bi-igham C. Ken D. Hellyer D. Spa PEDIATRICS .... G. Kittredge R. Norton G. Tanbara

R A D IO LO G Y .... . B. Harrington K. Gross S. Sanderson H. Ma A. Sames

T. O. Murphy R. Gibson E. Ban L. Annest C. Piper A. Herrmann M. Job SU R G ER Y ...... J. Read W. Sm D. W illard

U RO LO G Y ...... R. Osl

HOSPI'O David T. Hellyer, Doctors-Medical Arts.....___ J. Shaw Mary Bridge______C. Piper Mountain View ______C. Kemp St. Josephs______T. Haley BULLETIN of the Pierce County M edical Society ______17

FOR DISASTER Please Tear Out and Post TACOMA NORTHERN GOOD LAKEWOOD ST. JOSEPH’S GENERAL PACIFIC SAMARITAN GENERAL . HOSPITAL HOSPITAL HOSPITAL HOSPITAL HOSPITAL

i\V'. H. Pratt J. Bonica V. Murphy D. Hadfield

iB, Brooke D. Houtz C. May W. Burrows W. Brown |. Lasby H. Judd T. Skrinar T. Clark A. Ehrlich |V. McPhee J. May C. Stevens L. Sulkosky B. Ootkin f. West F. Schwind C. Vaught L. Skinner

G. Race E. Fairbourn F. Maire B. Rowen R. Huff (G. M. Whitacre M. Thomas

f.Mandeville W. Cameron

;-R. Florence W. Peterson L

|R. Vimont C. Larson C. Larson

,B. Bader E. Nelson P. Gerstmann i

J. Flynn F. Rigos J. Jarvis M. Vozenilek b. Haley A. Wickstrom E. Anderson i\V. Avery R. Burt j. Gullikson |C. Galbraith S. Tuell ! iL, Baskin L. Hoyer t W. Mattson J. Vadheim i j^. Grenley H. Kennedy

^mmittee Chair man ; Tacoma General ____ .—A. Wickstrom Good Samaritan _____ L. Sulkosky Northern Pacific______E. Anderson Lakewood General ..... A. Ehrlich t 1 8 BU LLETIN of the Pierce County M edical Society

MOUNTAIN VIEW FUNERAL HOME

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4100 Steilacoom Boulevard JUniper 4-0252 BULLETIN o f the Pierce County M edical Society 19 B. THE FIRST DOCTOR TO REPORT WILL REMAIN AT THE RADIO PHONE OF THE OFFICIAL CAR AND TAKE CHARGE OF DIRECTING MEDICAL WORK AT THE SITE UNTIL RE­ LIEVED BY A MEMBER OF THE CIVIL DISASTER COMMIT­ TEE. THE OTHERS WILL PROCEED TO EXAMINE AND TRIAGE CASUALTIES. C. PHYSICIANS WILL ATTEMPT NO DEFINITIVE CARE AND ONLY THE MOST RUDIMENTARY FIRST AID—DEPENDING ON THE NUMBER OF CASUALTIES AND THE NUMBER OF DOCTORS AVAILABLE. D. THE DOCTOR STATIONED AT THE RADIO-PHONE WILL ANNOUNCE TO THE HOSPITALS THE NUMBER OF CASUAL­ TIES BEING DISPATCHED TO EACH HOSPITAL AND WILL KEEP IN TOUCH WITH THE DOCTOR AT C. D. HEAD­ QUARTERS.

III. AMBULANCES a. No ambulance will leave the area without first clearing through the physician at the official car as to the number of casualties he carries and to which hospital he is being dispatched. b. Police and Fire officials wall refrain from dispatching ambulances to any hospital and will insist upon the ambulance clearing through the official car physician.

IV. HOSPITALS alerted will: a. Immediately inaugurate their hospital Civil Defense Plan notifying doctors assigned as members of their Civil Disaster team and throw their Disaster Plan into action. b. Hospitals will AVOID calling Fire, Police or other law enforcement agencies. If additional assistance is needed, information will be communicated to the doctor at C. D. Headquarters who will cor­ relate this information with the appropriate authorities at that Center.

V. CIVIL DISASTER COMMITTEE MEMBERS will: a. The first one notified will establish the magnitude of the disaster and the extent of the alert necessary. He will then notify the Physicians Exchange as to the extent the plan should be put into effect. He will then proceed to the C. D. Headquarters controlling the site of disaster (City at 420 Fawcett; County in the County- City Bldg. Room B33 in the basement). He will there monitor the short-wave communication regarding medical personnel and care of casualties and coordinate medical activities with those of other C. D. branches. b. Other members of the Disaster Committee will proceed to the hospitals assigned to them to man the radio communications, phones, etc. and will keep in close contact with C. D. Headquarters and the disaster area through these media. They will not leave the area of communication system, serving as coordinators and advisors only.

Please Tear Out and Post 2 0 BU LLETIN of the Fierce County M edical Society

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We dispense only the finest of Pharmaceuticals & Biologicals. BULLETIN o/ the Pierce County M edical Society 2 1 110th Annual AMA Scientific Sessions More than 2,000 physicians will take part Meeting in New York in the A.M.A. scientific program, wliich is The American Medical Association’s designed to keep doctors abreast of what’s 110th annual meeting, the “world’s fair of new in medicine. medicine,” will bring an estimated 50,000 Teaching mediums will include lectures, persons, including 25,000 physicians, into symposiums, panel discussions, movies, and New York City, June 25-30. closed-circuit television. The five-day convention, biggest of its More than 300 physicians will deliver kind in the world, will attract not only lectures before 20 different section meet­ doctors, but also their wives and families ings. Each section represents a specialty as well as residents, interns, exhibitors; in in medicine. The section meetings, wliich fact, people connected with all the allied run simultaneously, will be held not only fields of medicine. in the Coliseum, but also in hotels near­ by: Essex House, Barbizon Plaza, the Plaza, Technical exhibits, numbering S27 and Henry Hudson and the Sheraton-Park. displaying everything from medical books Highlights of the scientific program in­ to diapers, and more than 350 scientific clude a one-day meeting devoted to chest exhibits largely developed, designed and diseases; a Research Forum in six sections manned by physicians reporting their re­ with more than 200 participants represent­ search, will take up practically every inch ing a corss-section of every medical spe­ of space on all four floors on New York’s cialty; a Section on Otolaryngology; a pro­ big Coliseum. gram on high blood pressure due to kidney The A.M.A. meeting will open formally diseases; sections on surgery and on physi- on Sunday, June 25, with a special pre­ view luncheon and showing in the Coli­ (Continued on page 23) seum for A.M.A. officers and committee chairmen, members of the Board of Trus­ tees, representatives of the Pharmaceutical Manufacturers’ Association, and invited guests. FIRST NATIONAL In the past, A.M.A. conventions opened on Monday, but as a convenience to phy­ AUTO LEASE sicians and in anticipation of the heavy attendance, both the registration facilities COMPANY and the technical and scientific exhibits will be open and staffed until 5 o’clock 624 Broadway Sunday afternoon. Registration hours, Monday through Thursday, will be from 8:30 a.m. to 5:30 MArket 7-6171 p.m., and until 12 noon on Friday, the final day. The Coliseum will be open, how­ SPECIAL LOW RATES ON ever, to physicians only on Tuesday, W ed­ MAINTAINED BUSINESS CARS nesday, and Thursday morning. FOR PROFESSIONAL MEN Dr. Leonard W. Larson, 63-year-old path­ ologist and clinic executive from Bismarck, N. D., will be inaugurated as president of 1 - 2 - 3 - Year Leases the A.M.A. at 8:30 p.m., Tuesday, in the Waldorf-Astoria ballroom. Dr. Larson, who SEDANS - STATION WAGONS will give his inaugural address that time, HARD TOPS - CONVERTIBLES succeeds Dr. E. Vincent Askey, Los An­ geles surgeon. THUNDERBIRDS Dr. Larson has attended all but one of the A.M.A. conventions since 1926. BU LLETIN of the Pierce County M edical Society FLASH SOMETHING NEW M Has Been Added To Our Fleet M A A

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Free Prescription Delivery BULLETIN of the Piebce County M edical Society 2 3 cal medicine. There also will be conferences M. D. Annual on diabetes and nutrition with special ex­ hibits in conjunction with the lectures. Meetings of the House of Delegates will BOWL-E-RAMA be at the Statler-Hilton. Matters to be con­ MAY 8 t h . . . 9 p . m . sidered bv the house will probably include: A supplemental report relating to closer co­ Shoes and Ball Available operation between the American Medical No Handicaps Necessary Association, the American Hospital Asso­ TROPHIES ARE PLENTIFUL ciation, the National Association of Blue Shield Plans, and the Blue Cross Associa­ (Sole trophv sponsor Stow'ell Pharmacy) tion in promoting “maximum development of the voluntary non-profit prepayment con­ cept to provide health care for the Ameri­ Classified Advertising can people.” Also up for consideration by the House FOR SALE BY OWNERS will be a report by the A.M.A. Judicial HEAL CHOICE HOOD CANAL WATERFRONT Council, the “supreme court” of medicine, OR BACK LOTS—located on a beautiful which will cover the relationship between point, fine pea gravel bcach: private com­ doctors of medicine and doctors of oste­ munity launching ramp: dock with float; private lodge and shop. SELECT \OUR LOT opathy; group disability insurance for all NOW AT WINTER PRICES WITH AL­ members of the American Medical Associa­ MOST ANY TERMS. . . . CALL OR tion; a status report by the A.M.A. Com­ WRITE Dr. C. Russell Perkins, Office, SK 2-4228; Home, SK 2-8]23; 2613 No. 21st, mission on the Cost of Medical Care, which Tacoma, Washington. is presently studying all facets of the broad medical care cost problem; a final report by a committee which studied all mechan­ MEDICAL SPACE AVAILABLE TACOMA NORTH END isms for disciplining members of the medi­ cal profession; Washington legislation, es­ New Medical-Dental Bldg.; completely equipped; on arterial street; in well populated residen­ pecially various aspects of President Ken­ tial area; oif-street parking. Large reception nedy’s program for health care of the aged office with business office adjoining (2) pri­ through social security. vate offices - six treatment rooms, laboratory, (2) rest rooms, wide hallway. Woman’s Auxiliary For information, building plan, call or write Mr. Robt. Goldberg, 4320 N. 27th, Tacoma, Wn., days FU 3-3484 — eve. SK 9-7035. Approximately 3,000 members of the Woman’s Auxiliary will hold their 38th annual convention in New York City MEDICAL SPACES FOR RENT IN simultaneously with the A.M.A. meeting. LAKEWOOD FURNISHED OR UNFURNISHED Headquarters will be at the Hotel Roose­ DOCTOR, do you want a completely furnished velt. Lakewood Olfiee with ample parking? Two brand-new medical suites are now avail­ able in new Lakewood Professional Village building, suitable for part-time, full-time, single or shaicd oeeupaney. Located between new Lakewood Hospital and Villa Plaza Shop- ing Center. Contact: Mitch Gasparovieh, 3660 BEALL’S Tahoma Place, Tacoma 66. Phone SK 2-2033. The Prescription Store DAMMEIER 124 Meridian South Printing Co. PUYALLUP BRoadway 2-8303 Phone Puyallup 5-8444 811 Pacific Ave. Tacoma 2 4 BU LLETIN of the Pierce County M edical Society

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13...... II mm...... Mini...... mi...... iililT BULLETIN of the Pierce County M edical Society 25 . . . attain its objective of a 30 per cent increase From Japan in the charge per point by applying pres­ Last month’s Bulletin featured a discus­ sure through doctors’ strikes. sion of the strike of Japanese doctors and The Medical Association has, of course, dentists. It was stated that “by and large designated hospitals for emergency treat­ the population of Japan is not sympathetic ment during the strikes. But most families widi the strike but is sympathetic with the have their own family doctor. They do not reasons for the strike.” like to be treated by other doctors. If they go to a different hospital, they also have to The following article appeared in the pay the initial examination fee all over April, 1961, Bulletin of the Hennepin again. County Medical Society as a translation There have, fortunately, been no un­ from the column “Tensei Jingo” by Asahi fortunate accidents or confusion. But even Shimbuii. It points out clearly that in this if no one has yet died because of the doc­ hassle to provide medical care for every­ tors’ refusal to give treatment, die possi­ body at somebody else’s expense the for­ gotten man is the patient. bility is always there. What with strikes by private doctors and the intermittent strikes —E d i t o u . at hospitals, this is a bad year for patients. Yoshimi Furui, the Health and Welfare MEDICAL ILLS Minister, says the doctors are conducting a sumo match with themselves, with no About 8,000 practicing doctors affiliated opponent. lie says loftily, “If they refuse with the Tokyo Metropolitan Medical As­ treatment for their patients, they are only sociation put out signs saying “No Treat­ hurting themselves since they lose income. ment Today” on Tuesday and took the day We will stand on the sidelines and watch.’’ off. The same diing has been done before His remark reflects an over-hostility- and by doctors in Osaka and Nagasaki, and ignores the existence of the patients. If doctors in different parts of the country patients were forced to conduct sumo will continue to take days off. matches with themselves without an op­ Regardless of the current “flu” epidemic, ponent, it is the people who will suffer. the Japan Medical Association is organizing The Government must come down from its a whole series of walkouts and doctors will Olympian aloofness. refuse to treat their patients. Such coldness The doctors should realize that die pub­ is indescribable. The public is deeply lic will never support their heartless refusal disturbed. to give treatment. The patients are in a weak position in relation to the doctors. In the protest rally which they staged in They do not complain directly to the doc­ Tokyo, the doctors carried placards bearing tors, but they are complaining in their quite strong language. Some of the slogans hearts. were exceedingly rugged, such as “Once medicine was magic; now it’s mathematics,” “The Health and Welfare Ministry Ignores Human Life,” “Y54 for examining a human being; Y80 for mending a tire,” and “Your Life is cheaper than a pig’s.” When it drafted the budget, the Govern­ ment did not setde the question of whether to raise the charge per point or to increase 10-12 HOUR HUNGER CONTROL WITH the number of points for different types of NO REPORTED CONTRAINDICATIONS treatment under the health insurance scheme. All it did was to approve a 10 per cent increase in medical charges. It left the TENUATE*DOSPAN* central question to be settled later. This is why the Medical Association is trying to 2 6 B U L L E T I N of the Fierce County Medical Society

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ANNUAL MEETING S a tu rda y, M a y 6 Jackson Hall Guest speaker . . . PHARMACY H a r r is B. S c h u m a c k e r , J r ., M.D. Professor of Surgery Indiana University Medical Center 101 North Tacoma Avenue

Prescription PATRONIZE YOUR ADVERTISERS Druggists TB Assn. and Thoracic Society Annual Meet The Washington Tuberculosis Associa­ tion and the Washington Thoracic Society will hold their Annual Meetings at the We Carry a Complete Stock of Winthrop Hotel May 5 and 6. Members of the Pierce County Medical Society are wel­ BiologicaIs and Pharmaceuticals come to attend any of the meetings. Friday, May 5th, at 12:30 p.m., there wall be a luncheon meeting, at which John R. Goldsmith, M.D., Head, Air Pollution Medical Studies, California Department of Public Health, Berkeley, will be the speaker. His subject will be: “Does Man’s "When Moments Count" Health Depend on the Air He Breathes?” At the 7 p.m. dinner meeting, Martin J. Fitzpatrick, M.D., Chief, Pulmonary Dis­ FUlton 3-2411 ease Section, Department of Internal Medi­ cine, University of Kansas Medical Center, PROMPT FREE DELIVERY Kansas City, will speak on “The Changing Spectrum of Pulmonary Disease”. Reserva­ tions for luncheon and dinner may be made at MA 7-1891. ★ The Washington Thoracic Society will hold Clinical Sessions Saturday morning, and ending with a luncheon meeting at 12:30.

Dr. and Mrs. C. V. Lundvick left April 13th for six weeks in Europe where Dr. Doric Pharmacy Lundvick will attend a series of medical meetings — the Barraquer Seminar of Ophthalmology in Spain, the French Acad­ FUlton 3-1145 emy of Ophthalmology in Paris and Eye Clinics in Cologne, Amsterdam and London. 2 8 BU LLETIN of the Pierce County M edical Society . . . for the issuance of medical degrees as More News on agreed upon by the Advisory Educational California Osteopathy Committee.” In the April Bulletin it was noted that The presidents of the two organizations a real effort was being made in California explained that the educational committee to bring the M.D.’s and D.O.’s together. composed of the three deans of the local From the California Medical Association medical schools, Drs. Clayton G. Loosli, Public Relations Committee comes the fol­ University of Southern California; Walter lowing progress report: E. Macpherson, College of Medical Evan­ gelists; and Stafford L. Warren of the Uni­ HOUSE OF DELEGATES TO ACT versity of California at Los Angeles, along ON MERGER INTO MEDICAL with Dr. Grace Bell, dean of the osteo­ ASSOCIATION paths school, and other leaders in both professions have been in conference for The first of the last three steps toward several months working out satisfactory the unification of the members of the medi­ arrangements for the change-over of the cal and osteopathic professions into a single college to a medical school. medical organization and the conversion of the Los Angeles College of Osteopathic During the press conference called to Physicians and Surgeons into a medical witness the signing of the agreement it school was taken here (March 30 in Los was brought out that “both parties agree to Angeles) today. use their best efforts” for the enactment of any enabling legislation necessary to fur­ Signers of the all embracing agreement, ther the unification agreement. which next goes to the members of the House of Delegates of the California Medi­ Can Use Only One Degree cal Association and the California Osteo­ pathic Association for final approval, were Contemplated legislation sets October Dr. Paul D. Foster, president of CMA, and 31, 1962, as the final date when properly Dr. Dorothy J. Marsh, COA president. licensed osteopathic physicians who receive a Doctor of Medicine degree may elect to “Prime objectives of the merger of the use the term or suffix “M.D.” After making two professions,” said the two presidents in the medical selection, a former doctor of a joint statement, “is to improve the health osteopathy shall discontinue the use of the services available to the citizens of Cali­ suffix “D.O.” It was made clear that he fornia and to expand present medical teach­ may elect to continue as an osteopathic ing facilities. physician and surgeon using the “D.O.” “Meanwhile, it should be stressed that identification after his name, but he is pre­ this agreement in no way attempts to alter cluded from using both “M.D.” and “D.O.” or diminish the practice rights of individual physicians, or to limit their opportunities End To Osteopathic Licensing of future practice in caring for their pa­ tients. Hospital privileges of the members Other mutually agreed upon legislative of the two groups will remain unchanged. proposals would eventually end the licens­ ing of doctors of osteopathy and eliminate “After the final approval of the agree­ the California Board of Osteopathic ment it is contemplated that individual Examiners. members of the COA will obtain a degree of Doctor of Medicine. This action, said both presidents, would be in the natural course of legislative pro­ Advisory Educational Committee cedure since at the present time both the osteopathic board and the Board of Medi­ “The CMA has agreed to accept such cal Examiners issue identical licenses with procedures for the change of the osteo­ equal rights for doctors of medicine and pathic school to a school of medicine and doctors of osteopathy. When given legisla- BULLETIN o f the Pierce County M edical Society 29 tive approval, the Board of Medical Ex­ Still’s version of God’s law (“Osteopathy aminers will have at least one member who is God’s law”—Still) in other states are not previously held a “D.O .” degree. pleased with their California brethren but “We have been impressed,” concluded a large number, also outside California, the joint statement, “with the patience, the would prefer to forget A. T. Still and his sincerity and the objectivity of the repre­ war of osteopathy vs. poison (i.e. medicine). sentatives of both xarofessions who have —E d i t o r . brought our unification program to the point where all details have been resolved and, as of this date, been given official Heart Assn. To Offer approval. Work Classes More Medical Students The Pierce County Heart Association an­ “Much credit is due to the members of nounces the start of work simplification the Advisory Educational Committee who classes for homemakers. The Spring Series will have a continuing responsibility to see consists of four class sessions — Tuesday, that the interests of the current students at May 16; Thursday, May IS; Tuesday, May- tlie highly esteemed osteopathic college are 23; and Thursday, May 25. The class are respected and that the change to a medical held from 7:30 p.m. until 9:30 p.m. at the school wall be accomplished as expedi­ Heart Association Office, 120 North Tacoma tiously as good judgment dictates. The op­ Avenue. There will be no charge for any portunity for an increased number of medi­ of the classes. cal students is a factor tiiat every person Registrations are now being taken at the in fast-growing California can appreciate." Heart Association office, BR 2-7S54. Other signatories to the agreement were The classes are taught by a trained Occu­ Drs. Samuel B. Sherman, CMA council pational Therapist, and are open to anv chairman, and Glenn Gordon, COA homemaker who would like to learn to secretary. “Take It Easy, Work Smarter not Harder.” CMA has a membership nearing die 18,000 mark while there are 2,200 members of COA. A COMPLETE LINE OF CMA’s House of Delegates will act on the agreement at its Los Angeles meeting SUPPLIES FOR THE on May 3. The COA meeting is scheduled PHYSICIAN . . . HOSPITAL for May 17 in Long Beach. AND NURSING HOME Certainly the California Osteopathic physicians may be commended for a solid accomplishment. There will be problems. Reciprocity licensure by California for non- California trained osteopaths will be a try­ ing experience and the confusion of spe­ Mail or Telephone Orders cialty certification of osteopaths who be­ Given Prompt Attention come M.D.’s will trouble every American specialty board. But the California D.O.’s are on the inarch and, at their own risk, they have disowned the late Major A. T. Still, D.O., founder of this science which consists of WILL ROSS, INC. exact, exhaustive, and verifiable know­ OF WASHINGTON ledge” which restores normal equilibrium of form and function in the body in “ac­ 741 St. Helens Ave. - BR. 2-6400 cord with its own mechanical principles, Tacoma 2 molecular activities and metabolic pro­ cesses.” Those who continue to follow 30 BU LLETIN of the Pierce County M edical Society King Liquid Detergent 2, Pratt and Lam­ Poison Control Center bert White Paint, Rez-zin Hardner, Lysol Total Number of Calls______117 2, Cutex Nail Polish Remover, Genie Calls from parents or other lay p erson s92 Household Cleaner, Blast Cleaner, Elmers Physicians or Hospitals ____ 25 Glue, Tetasol Spray, Drano, Castor Bean, Medicinal Substances: Aspirin Gr. V2 2, Glamorene Shampoo, Baby Oil, Glass Wax, Aspirin Gr. P /4 2, Aspirin Gr. 5 2, Anacin Rat Poison, Mothballs 2, Daffodil Stems, 2, Benadryl 2, Exlax 2, Placidyl, Iodine, Oil Bee Sting, Dieffenbachie Plant, Stove Oil of Eucalyptus, S.S.K.I., Koromex, Vitamins, 2, Avon Skin Oil 2, Voodoo Plant, Acid, Ferrous Sulphate, j.W . Pin Worm Tablets, Trend Liquid Detergent, Wizard Spray De­ Phenobarbital Gr. %, Diuril, Stilbesterol, odorizer, Master Mix Surface Preparer, Vapor Inhalant, Rexall Superanapec, Acne Tussy Toilet Water, Super Chemtone In­ Pills prescription, Cold Tablets, Thyroid terior Wall Paint, Cold gauge thermometer, Gr. I, Thorazine, Doriden, Belap No. 1, Cleaning Fluid, Book Matches, Easter Egg Erogtrate, Harmonyl, Equinal 3, Librium, Coloring 2, Machiavelli Cologne, Comet Tedral, Blutene Tablets, Fruit Vitamins, Cleanser, Avon Face Lotion, Aucuba Ja- Vitamin and Iron Pills, Cheracol Cough ponica Veriegeta (Plant), Latex Paint, Syrup, Poli-dent Tooth Cleaner, Engran Nitric Acid, Pyracantha Berry, Mushroom Vitamins, Masco Corn and Callous Re­ or Toadstool, Jergens Cologne 2, Freezone, mover, Heet Liniment, Boric Acid, Puritan DDT, Acetic Acid, Freon Gas, Woodlife, Vitamin Tablets, Desetin Ointment, Dia- Thionine. metane, Dilantin, Green Mint Mouth Wash, Number advised to go to hospital 11 Vicks Vapor Inhalant. Number advised to contact private M.D. 30 Oother Substances: Sublime Sulphur, Number advised emetics or observe 53 Ivory Liquid Soap, Guardsman Furniture Number treated in ER (MVGH) 17 Polish, Purex 2, Flying A Antifreeze, Avon Number hospitalized at HVGH ______2 Perfume, Avon Finger Nail Polish, White Information from clinical toxicology 106

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* B QY I TH/AT IS ASl ALL- I hj c UO SlVB. HOSPlT/AL IZATION POLIOY l\" Courfejy Medfcof Socre/y Mogorme Group Pierce County Medical Society BULK RATE Medical Arts Building U. S. POSTAGE Tacoma 2, Washington PAID TACOMA, WASH. PERMIT No. 300

MONTHLY MEETINGS STAFF OF DOCTORS HOSPITAL OF TACOMA Second Monday of March, June, Sept., Dec.—7:30 p.m. Auditorium of Medical Arts Bldg. STAFF OF GOOD SAMARITAN Second Monday of March, June, Sept., Dec.— 6:30 p.m. STAFF OF NORTHERN PACIFIC Second Monday of each month—noon. STAFF OF ST. JOSEPH'S Third Monday of March, June, Sept., Dec.—6:15 p.m. STAFF OF MOUNTAIN VIEW GENERAL HOSPITAL Last Monday of February, June, September and November TACOMA ACADEMY OF PSYCHIATRISTS and NEUROLOGISTS First Tuesday of each month—8:30 p.m. Board Room of Pierce County Medical Society PIERCE COUNTY MEDICAL SOCIETY Second Tuesday of the month except June, July & August — 8:15 p.m. STAFF OF TACOMA GENERAL First Tuesday of March, June, Sept., Dec.—6:30 p.m. TACOMA SURGICAL CLUB Third Tuesday of each month—6:30 p.m. at Tacoma Club TACOMA ACADEMY OF INTERNAL MEDICINE Fourth Tuesday of each month—6 p.m. at Tacoma Club TACOMA ACADEMY OF GENERAL PRACTICE Fourth Monday of each month except June. July & August —6:30 p.m. at Honan's PIERCE COUNTY PEDIATRIC SOCIETY First Friday of each month except June, July and August STAFF OF MEDICAL ARTS HOSPITAL Third Friday of March, June, Sept., Dec.—7:15 a.m. at New Yorker Cafe. STAFF OF MARY BRIDGE CHILDREN'S HOSPITAL Fourth Friday of March, June, Sept., Dec.— 12:15 p.m. ^ bu lletin a PIERCE COUNTY MEDICAL SOCIETY

VOL. XXXII—No. (i TACOMA, WASH. JUNE - I9«l BULLETIN of the Piebce County M edical Society Pierce County Medical Society 1961 OFFICERS P re sid e n t ______Chris C. Reynolds President-Elect______G. Marshall Whitacre m=m Vice-President------Robert M. Ferguson Hap-py birth - day to you, Secrelary-Treasurer— ...... Arnold T- Herrmann Executive Secretary...... judy Gordon

TRUSTEES Glenn H. Brokaw Chris C. Remolds Dale D. Doherty Cyril B. Ritchie Happy Birthday Robert M. Ferguson Frederick J. Schwind Arnold J. Herrmann John M. Shaw George S. Kittredge Stanley W. Tuell Robert W. Osborne C, Marshall Whitacre Jun e

D E L E G A T E S Douglas P. Buttorff George S. Kittredge 2 TREACY DUERFELDT Arnold J. Herrmann Stanley W. Tuell ' Herman S. Judd Wayne W. Zimmerman WILLIAM L. ROHNER ALTERNATE DELEGATES Charles R. Bogue Robert W. Florence Glenn H. Brokaw Glenn G. McBride Robert M. Ferguson Frederick J. Schwind 5 HOLLIS SMITH

COMMITTEES JAMES VADHEIM E thics Miles Parrott, Chairman Haskel L. Maier William H. Goering G rievance 7 JOSEPH HARRIS Cyril B. Ritchie, Chairman J. W. Bowen, Jr. Herman S. Judd Program Robert C. Johnson, Chairman S JACK ERICKSON Robert A. O’Connell Buel L. Sever L ibrary S. Robert Lantiere, Chairman 10 HAROLD LUEKEN T. Edmund Deming Haskel L. Maier Dudley W. Houtz John F. Steele Public Health Max S. Thomas, Chairman 11 JACK MANDEVILLE Charles McGill George A. Tanbara Public Relations Robert M. Ferguson, Chairman Kenneth E. Cross John M. Shaw 13 ERNA GUILFOIL Arnold J. Herrmann George A. Tanbara Ardiur P. Wickstrom House and Attendance 14 THOMAS O. MURPHY William E. Avery, Chairman Eugene Hanson Haskel L. Maier Civil Disaster David T. Hellyer, Chairman 15 MILES PARROTT Richard B. Link Leo F. Sulkosky John M. Shaw Arthur P. Wickstrom T. R. Haley Charles E. Kemp GEORGE TANBARA D iabetes Edwin J. Fairboum, Chairman Frank W. Hennings John S. May 20 GEORGE BATEY Entertainment Samuel E. Adams, Chairman L. S. Durkin Robert M. Ferguson Robert A. Kallsen 21 LEO ANNEST Geriatrics John F. Comfort, Chairman William P. Hauser William McPhee JA C K L E E Leonard Morley Legislative Wayne W. Zimmerman, Chairman 22 MARCEL MALDEN Douglas P. Buttorff Charles C. Reberger John M. Shaw Medical Education Elmer W. Wahlberg, Chairman 28 STANLEY DURKIN Glenn II. Brokaw Clinton A. Piper Schools R. A. Norton, Chairman MILLS LAWRENCE Theodore Apa George S. Kittredge Orvis A. Harrelson Jack W. Mandeville George A. Tanbara HERBERT MEIER Traffic and Safety Albert Ehrlich, Chairman Mental Health William H, Todd, Chairman James W. Boudwin Hugo Van Dooren

Bulletin Staff E d ito r ______Charles C. Reberger PATRONIZE YOUR ADVERTISERS Business Manager______-..Judy Gordon Auxiliary News Editor______Mrs. Herman S. Judd now ... &

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dosage: Total daily dosage may range from as low as 40 mg. [one 20 mg. tablet twice daily) to as high as 80 mg. daily. Generally, the most cfleclive dosage is 20 mg, t.i.d. In (hose patients who have difficulty sleeping, the last tablet should be taken one hour betore retiring. supply. J1NDAL Tablets, 20 mg, bottles ol 1DD and 1QDO. rcfcftneei: il ) Hi/jhrtrrler. i.: Adjunctive therapy in cardiacs. presented at |hc Spring Scientific Symposium, Conneelieul Atad. Gen. Pracl.. Marl lord. Conn.. March 16, 1961. {2l frohm.m, I. P., Tbe Alleviation ot Stress in the Elderly Cardiac Palient, ibid. (3) Kent. I, # : ManjKemont Ol Itie Hyperactive Cajii.nric Patient, ibid. SCHEFtIN G CORPORATIO N • BLO O M FIELD , NEW J E R S E Y QI1 OQlFOR YOUR CARDIOVASCULAR Lun AU/ PATIENT...WHEN YOU HAVE TO SAY DOWN 4 BULLETIN of the Fierce County M edical Society EDITORIALLY SPEAKING

C.C.C.P.

Over the past few months there have been received in the library of your Pierce County Medical Society a number of journals translated abroad from the Russian with support from our national agencies, published in England or Israel at our government’s expense and mailed unsolicited and postpaid. Strangely, some of the journals printed in England arrive by registered mail from Poland. So far there has been little interest shown in these specimens and many of these journals in the library have not even been opened. Appar­ ently, it has not been questioned why the National Institutes of Health, the National Science Foundation and the Department of Health, Education and Welfare have provided libraries, free of charges other than taxes, with transla­ tions of Russian literature in preference to all other sources of medical writings. This is not to imply that the National Institutes of Health et al are motivated by a pre-meditated pro-Moscow line, but it suggests that for some reason forces are at work in our national organizations which lead them to the conclusion that this Russian literature is more valuable than all other forms of foreign or domestic literature and therefore should be provided at government expense even to those whose interest in this literature is negligible.

This policy of supplying literature free of charge to the Medical Society Library is not limited to Journal publications but has also been extended to books. The most recent acquisition to the library is a book published by the Pergamon Press entitled, “New Soviet Surgical Apparatus and Instruments and their Application,” edited by M. G. Anan’yev. This book bears a price mark of $12.50 and enclosed with it is a “with compliments” note coming from the Pergamon Institute which says “Sent to you with the compliments of the National Institute of Health, Bethesda, Russian Translation Programme.” In view of the known cold, calculating, unsympathetic attitude of the proponents of International Socialism, the publisher’s notice to reviewers and researchers which is found in this book raises some question of the overall sanity of our National policies. It also suggests a subtle, if stupid, reason behind this obvious favoritism of Russian literature.

This note states “The cost of translating scientific and technical work from the Russian in time, money and publishing effort is very considerable. In the interest of getting the Soviet Authorities eventually to pay the usual author’s royalties to Western authors, the Pergamon Press is voluntarily paying to the BULLETIN o f th e Fierce County M edical Society 5

Russian authors the usual writers’ Royalties on this publication, in addition to the translators’ and editors’ fees. This and the somewhat limited market and the lack of an>’ kind of subsidy accounts for what may appear to be a higher than usual publishers price.” Essentially, however, the National Institutes of Health is subsidizing this program when they agree to buy these books at $12.50 to be sent willy-nilly to all the medical libraries in die country. It may be true that there are a few people in this country who might be interested in owning such a book, but it does not seem in accord with sound national policy to contribute financially to this program set up by the Pergamon Institute in the interest of getting the So\det authorities eventually to pay the usual authors’ royalties to Western authors. The program itself appears too naive for serious consideration and yet die National Institutes of Health and we, the taxpayers, wind up supporting just such a program.

So far, the library has received about 100 shelf inches of this material, much of it discarded to make room for publications which doctors occasionally read. At present, we have on hand about 40 inches of shelf packed with such journals and books; Anan'yev's book at S12.50 is 11/16 inches in thickness. This litera­ ture is naturally scientific and totally non-political, e.g.—

“Scientific research has filled my whole life with interest and joy, and I hope that I shall have the possibility of developing and solving many scientific problems which arise, in the big and friendly collec­ tive group of physiologists in the Ukraine.” (1)

Da da da, Eto—science!

1. G. V. Fol’bort, The Paths of Development of My Research, Problems of the Physiology of the Processes of Fatigue and Recovery, Acad. Sciences of Ukranian S.S.R., Page 52, Kiev, 1958. — Editor.

PHYSICIAN-DENTIST FIELD DAY FRIDAY, 3 0 6 BULLETIN of the P i e h c e C o u n t y M e d i c a l S o c ie t y June Calendar of Meetings

MONDAY TUESDAY WEDNESDAY THURSDAY FRIDAY

1 2

C.P.C. of St. Joe’s 9 :0 0 a.m.

5 6 7 8 9

Staff of Tacoma General Hospital C.P.C. of St. Joe’s 6 :3 0 p.m. 9 :0 0 a.m.

12 13 14 15 16

Staff of Good Staff of Medical Samaritan Hosp. Arts Hospital 6 :3 0 p.m. Staff of Doctor’s 7 :1 5 a.m. Hospital Staff of N.P. 7 :3 0 p.m. C.P.C. of St. Joe’s Noon 9 :0 0 a.m.

19 20 21 22 23

Staff of St. Joe’s Staff of M. Bridge 6 :1 5 p.m. Hosp.— 12:15 p.m.

C.P.C. of St. Joe’s 9 :0 0 a.m.

26 27 28 29 30

Staff of Mt. View C.P.C. of St. Joe’s General Hospital 9 :0 0 a.m.

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Call MA. 7-3171 Columbian Optical Co. Fuel Oil Service Co. Ground Floor, Medical Arts Bldg. 816 A St., Tacoma Medical Center Mark Dolliver Jack Galbraith Western Clinic Bldg. BULLETIN of the Pierce County Medical Society 7

%Neiv P roduct A nnouncem ent

a significant achievement in corticosteroid research

.■Esailapius

Haldrone is a potent synthetic corticosteroid with marked anti­ inflammatory activity. In steroid-responsive conditions, it pro­ vides predictable anti-inflammatory cfiects with a minimum of untoward reactions. Gratifying response has been observed in patients transferred from other corticosteroids to Haldrone. There is relatively little adverse effect on electrolyte metabolism. With Haldrone, sodium retention is unlikely, psychic effects are minimal, and there appears to be freedom from muscle weak­ ness and cramping.

C ortison e...... 25 mg. Haldrone, 2 mg., Hydrocortisone ...... 20 mg. Prednisone or prednisolone .... 5 m g. is approximately Triamcinolone or equivalent to methylprcdnisolone ...... 4 mg. Dexametbasone ...... 0.75 mg.

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ELI LILLY AND COMPANY • INDIANAPOLIS 6, INDIANA, U.S.A. 140049 8 BULLETIN of the Pierce County M edical Society Medical Conformity What’s For Lunch?*

You think your life in medical practice My span of attention is very short. I dis­ is over-regulated now? Note these rules for tract easily. Recently, it’s been getting doctor conduct 600 years ago, as reported worse. by the Worcester (Mass.) Medical News: I read the scientific articles presented to this Journal for publication, you know, and —“Dress soberly, like a clerk, not like now and then make comment on the scien­ a minstrel. Do not walk hastily, which tific material therein. This month I was betokens levity, or too slowly, which is brought up short. Among the manuscripts a sign of faintheartedness.” there was on on the subject of hypnosis in —“When called to a patient, find out surgery. from his messenger as much about him We depart from science, therefore, to as you can before you arrive. Then, if deal with the art of medicine. It is my deal. his pulse and urine tell you nothing, you This is about hypnosis and it may be said can still surprise him with your knowledge of me, truly, “He doesn’t know his id from of his condition.” his ego.” I have tried to fit hypnosis into my pic­ —“When feeling the patient’s pulse, al­ ture. Not hard, but once in a while I give low for the fact that he may be disturbed it a little go. I’m furtive about it, like a by your arrival and by the thought of the small boy watching a peep show. It’s inter­ fee you are going to charge him.” esting, but I’m not quite sure I would like —“When asked how long recovery will to be caught doing it. take, specify double the expected period. I have closed my eyes on command. I A quicker recovery will rebound to your have looked for the blackboard to draw credit.” the circle on. I have looked for the table with the vase to put the flowers in. It is —“Do not look lecherously on the pa­ one of the things I am a failure at. When I tient’s wife, daughters or maid-servants, or close my eyes, it gets dark. I can’t see any­ kiss them, or fondle their breasts, or whis­ thing. Keep it up for long and I go to sleep. per to them in corners. Such conduct dis­ I have tried my version of it on an occa­ tracts the physician’s mind from his work.” sional patient, only it’s not really hypnosis, —“Avoid the company or friendship of it’s more like friendly persuasion on a man laymen. They make a habit of mocking to man basis, or in this case man to woman. doctors, and besides, it is not always easy This woman with the hemorrhoids was to extract a fee from an intimate.” concerned. "Will it hurt?” she asked the night before Reprinted from Medico Legal Digest. surgery. “Heavens, no,” I said. “When you wake you will be relaxed and drowsy and there will be no pain then or ever. There will be nothing to it.” I stopped twirling my watch and put it back in my pocket. Then I patted her hand, which is always a nice 10-12 HOUR HUNGER CONTROL WITH touch, I think. LESS THAN 1% CNS STIMULATION Well, after the operation I was all quiet confidence as I opened the door to her TENUATfDOSPAN9 room. Not she. “Damn you,” she roared. “You are a lousy liar. It hurts like hell.”

( Continued on page 10) BULLETIN of the Piebce County M edical Society 9

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(Continued from page 8) tion either for sending or receiving hypno­ sis. One of those courses might make all You must have the full cooperation of the difference, but lacking confidence, as I the patient, of course. How was I to know do, and being stingy, as I am, before I she wasn’t with me all the way? would put out that kind of money I would There is one time when the patient is like to know just one thing. It might turn most receptive to suggestion and that is out to be all I would get for my money. when he is emerging from anesthesia. I am “What’s for lunch?” told this is true, anyway. You think he is —Eric R. Sanderson, M.D. asleep, but he is not, see? And any mes­ sage you implant at that time is received, “Reprinted from Western Journal Surgery, accepted, and acted upon without ques­ Obstetrics and Gynecology, 68:172, 1960. tion, just as soon as he wakes up. This is the reason you shouldn’t sing, whistle, tell lewd stories, or insult the patient while the inci­ Notice sion is being closed. It all registers and you The Governor of the State of Washington may regret it. On the other hand, you may has proclaimed the week of June 11 through take advantage of this receptive phase to June 17, 1961 as Medical Technology Week in recognition of the Annual Meet­ plant positive suggestions. “When you wake,” you intone with confi­ ing of the American Society of Medical dence, “you will have no pain, there wall be Technologists to be held in Seattle during no gas, no nausea, your intestine will work the second week of June. smoothly, and you will have no trouble Nellie May Bering, M.T. (ASCP), Presi­ passing your water.” dent of the ASMT has extended through Then in the morning after you have re­ this office a welcome to the membership of the Pierce County Medical Society. newed the order for morphine, grains V4, every 4 hours, checked the nasogastric suc­ tion, emptied the emesis basin, and irri­ gated the inlying catheter, you can be thankful you have made your suggestions. FIRST NATIONAL Think how much sicker he might have been without them. AUTO LEASE I have thought seriously of taking one of those courses they keep advertising in the COMPANY mail. You have seen them, I am sure. A panel of experts barnstorms like they used 624 Broadway to do on the old Chautauqua circuit. They have a dentist, a psychologist, and a couple MArket 7-6171 of doctors. They hit it from all angles for 1 day, 2 days, or whatever seems indicated, SPECIAL LOW RATES ON in better hotels in San Francisco or Las MAINTAINED BUSINESS CARS Vegas or Seattle or wherever else seems FOR PROFESSIONAL MEN likely. You learn all about it and then prac­ tice on each other. 1 - 2 - 3 - Year Leases The program varies a little depending on how long you are at it. The price runs from SEDANS - STATION WAGONS $50.00 to $150.00. And there is 1 footnote which is standard in the program. Always, HARD TOPS - CONVERTIBLES after the price quote, it says, “Luncheon is THUNDERBIRDS included.” It seems to me that I am not a good sta­ BULLETIN o f th e Piebce County M edical Society 11

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LEDERLE LABORATORIES, a Division of AMERICAN CYANAMID COMPANY, Pearl River, New York 12 BULLETIN of the P i e r c e C o u n t y M e d i c a l S o c i e t y Say “Cheese”! There’ve been some changes made dur­ ing the past five years. If you doubt it, take a look at the 1956 Pictorial Roster. Not only are there many new faces here since then, A A i I but the “old” ones have . . . well, altered somewhat. So, at the May meeting of the Society, the membership approved a recom­ PHARMACY mendation to publish a new, up-to-date edition. 101 North Tacoma Avenue All photos will be taken by Perler’s Studio and in the near future they will con­ tact you for an appointment. This will in­ Prescription volve no cost to you, no obligation what­ soever, and only enough of your time to Druggists have your picture taken. It is hoped that all photographic work will be completed during the summer months so that the Roster may be published this Fall. You will hear from the Studio soon so be prepared to make your appointment. The We Carry a Complete Stock of cooperation of every physician is requested. Biologicals and Pharmaceuticals Classified Advertising

FOR SALE BY OWNERS REAL CHOICE HOOD CANAL WATERFRONT OR BACK LOTS—located on a beautiful point, fine pea gravel beach; private com­ munity launching ramp; dock with float; private lodge and shop. SELECT YOUR LOT "When Moments Count" NOW AT WINTER PRICES WITH AL­ MOST ANY TERMS. . . . CALL OR WRITE Dr. C. Russell Perkins, Office, SK 2-4228; Home, SK 2-8123; 2613 No. 21st, Tacoma, Washington. FUlton 3-2411 MEDICAL SPACE AVAILABLE TACOMA NORTH END PROMPT . . . FREE DELIVERY New Medical-Dental Bldg.; completely equipped; on arterial street; in well populated residen­ tial area; off-street parking. Large reception office with business office adjoining (2) pri­ vate offices - six treatment rooms, laboratory, ★ (2) rest rooms, wide hallway. For information, building plan, call or write Mr. Robt. Goldberg, 4320 N. 27th, Tacoma, and W n, days FU 3-3484 — eve. SK 9-7035.

MEDICAL SPACES FOR RENT IN L A K E W O O D FURNISHED OR UNFURNISHED DOCTOR, do you want a completely furnished Doric Pharmacy Lakewood Office with ample parking? Two brand-new medical suites are now avail­ able in new Lakewood Professional Village building, suitable for part-time, full-time, single or shared occupancy. Located between FUlton 3-1145 new Lakewood Hospital and Villa Plaza Shop- ing Center. Contact: Mitch Gasparovich, 3660 Tahoma Place, Tacoma 66. Phone SK 2-2033. BULLETIN o f th e Fiebce County M edical Society 13

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LYNN CO* .Motfaa'iy Providing Fine Funeral Services Since 1905 717-719 Toe. Ave. So. Phone MA 7-7745 BULLETIN of the Fierce County M edical Society Please Tear Out and Post REPRINTED BY REQUEST PIERCE COUNTY MEDICAL SOCIETY PLAN FOR CIVIL DISASTER

In case of disaster of any magnitude, the MEDICAL DISASTER PLAN may be initiated by either of the following methods: A. The Sheriff's office, the office of the State Patrol, the City Fire Depart­ ment, the City Police Department, or any other responsible agency shall notify the PHYSICIANS EXCHANGE (BR 2-3166) of the occur­ rence of the disaster, its location, estimated number of casualties, and other pertinent data. B. Any hospital whose emergency room capacity is taxed to the point of overloading, and/or when additional information indicates that casualties are arriving from unaccounted sources, may notify the PHYSICIANS EXCHANGE.

I. THE PHYSICIANS EXCHANGE will then: a. Notify a doctor listed as a member of the Civil Disaster Committee who will evaluate the situation. b. In the meantime, the operator at the Physicians Exchange will locate the scene of disaster on the map provided and mark it with a red cross. Numbered thumb tacks immediately adjacent to this area will be identified on the numbered list of doctors placed as a legend on the map. The tacks will be located on 2 maps, one for nights and week-ends depicting the doctor’s residence; the other, for daytime use, depict­ ing offices. c. The Disaster Committee Chairman or his designee will be con­ sulted for extent of the alert status. d. A number of doctors (established by the Committee member) in the immediate area will be dispatched to the site by announcing “Disaster at . . . location”, and advising them to report there to an identifiable official car immediately. e. The rest of the Civil Disaster Committee members will then be notified to proceed to their liaison posts at their assigned hospitals. Meanwhile, the first notified physician of the committee will have proceeded to the C. D. Headquarters controlling the site of the disaster, to establish liaison with other branches of C. D. f. Notify hospitals with code terms “Disaster, please establish your emergency plan.”

II. DOCTORS DISPATCHED TO THE SITE OF DISASTER BY THE PHYSICIANS EXCHANGE WILL: A. IMMEDIATELY PROCEED TO THE OFFICIAL CAR AND IDENTIFY THEMSELVES BY THEIR CIVIL DEFENSE IDENTI­ FICATION CARDS. THIS IDENTIFICATION MAY ALSO BE NECESSARY TO PASS THROUGH POLICE AND FIRE LINES. (Continued on page 19) BULLETIN of the Pierce County M edical Society 15 relieve

when due to cow's milk allergy

In a clinical study1 of 206 milk-allergic infants, FOR PREVENTION: When allergic tendencies the “colicky” symptoms evident in 31% were exist in parents or siblings, it is advisable to promptly relieved when the infants were placed start the “potentially allergic” newborn on Sobee. on a soya formula. FOR DIAGNOSIS: If cow’s milk allergy is sus­ pected, a 24- to 48-hour trial period with Sobee I. Clein, N. W .: Pediat. Clin. North A m erica,N ov., 1964, pp. 949-962. often eliminates the need for an allergy study. specify

Bypoallergenic soya formula

Mead Johnson Laboratories

Symbol of service in medicine X 6______BULLETIN of the Fierce County M edical Society

Please Tear Out DOCTOR’S c a l and Post REPRIN MARY BRIDGE Ml DOCTORS C H IL D R E N ’S MEDICAL ARTS GE HOSPITAL HOSPITAL HOSPITAL HC

ANESTHESIA .... D. Goodson E. Eylander P. Bac

S. Adams G .D n GENERAL O. Harrelson T. Haz P R A C T IC E .... G. Hoi W. Rosenbladt R. Joh]

INTERNAL R. Kallsen H. Anderson R. Bar M E D IC IN E .... T. Duerfeldt R. Lai J. Harris R. O’C

NEUROSURGERY . . . ON CALL AT ALL HOSPITALS-—Dimant, Durkin, Chaml

OPHTHAMOLOGY . . . J. Bowen H. Camp G. Geissler R. Col

ORTHOPEDIC W. Goering D. Staatz D. Murray D. All SU R G ER Y ...... W. Zii

PA TH O LO G Y .... C. Larson C. Reberger C. Lai

L. Brigham C. Kei D. Hellyer D. Spt PEDIATRICS .... G. Kittredge R. Norton G. Tanbara

R A D IO LO G Y .... . B. Harrington K. Gross S. Sanderson H. Ma A. Sames

T. 0. Murphy R. Gibson E. Bai L. Annest C. Piper A. Herrmann M. Jol SU R G ER Y ...... W. Sn D. W illard

URO LO G Y ...... R. Os

HOSPIT j David T . Hellyer. Doctors-Medical Arts______J. Shaw Mary Bridge ...... C. Piper Mountain View______C. Kemp St. Joseph’s... ______T . Haley BULLETIN o f th e Pierce County M edical Society 17 | FOR DISASTER Please Tear Out (REQUEST ancl Post

TACOMA NORTHERN GOOD LAKEWOOD , ST. JOSEPH’S GENERAL PACIFIC SAMARITAN GENERAL S HOSPITAL HOSPITAL HOSPITAL HOSPITAL HOSPITAL j i W . H . Pratt J. Bonica V. Murphy D. Hadfielcl

IR. Brooke D. Houtz C. May WT. Burrows W. Brown 1 J. Lasby H. Judd T. Skrinar T. Clark A. Ehrlich ► W. McPhee J. May G'. Stevens L. Sulkosky B. Ootkin f'T.West F. Schwind C. Vaught L. Skinner

G. Race E. Fairbourn F. Maire . B. Rowen R. Huff j G. M. Wliitacrc M. Thomas

!

j J. Mandeville W. Cameron

^ R. Florence W. Peterson L

j- R. Vimont C. Larson C. Larson

| B. Bader E. Nelson P. Gerstmann

[■ J. Flynn F. Rigos J. Jarvis M. Vozenilek L

fc T. Haley A. Wickstrom E. Anderson Iff. Avery R. Burt J. Gullikson p C, Galbraith S. Tuell : L. Baskin L. Hover [ W. Mattson J. Vadheim

Grenley H. Kennedy

fiNATORS Imnuttee Chairman ; Tacoma General______A.Wickstrom Good Samaritan ______L. Sulkosky Northern Pacific______E. Anderson Lakewood General------A. Ehrlich 1 8 BU LLETIN of the Pierce County M edical Society

MOUNTAIN VIEW FUNERAL HOME

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UNDERTAKING CEMETERY CHAPEL MAUSOLEUM

4100 Steilacoom Boulevard JUniper 4-0252 BULLETIN o f th e Pierce County M edical Society 19 B. THE FIRST DOCTOR TO REPORT WILL REMAIN AT THE RADIO PHONE OF THE OFFICIAL CAR AND TAKE CHARGE OF DIRECTING MEDICAL WORK \T THE SITE UNTIL RE­ LIEVED BY A MEMBER OF THE CIVIL DISASTER COMMIT­ TEE. THE OTHERS WILL PROCEED TO EXAMINE AND TRIAGE CASUALTIES. C. PHYSICIANS WILL ATTEMPT NO DEFINITIVE CARE AND ONLY THE MOST RUDIMENTARY FIRST AID—DEPENDING ON THE NUMBER OF CASUALTIES AND THE NUMBER OF DOCTORS AVAILABLE. D. THE DOCTOR STATIONED AT THE RADIO-PHONE WILL ANNOUNCE TO THE HOSPITALS THE NUMBER OF CASUAL­ TIES BEING DISPATCHED TO EACH HOSPITAL AND WILL KEEP IN TOUCH WITH THE DOCTOR AT C. D. HEAD­ QUARTERS.

III. AMBULANCES a. No ambulance will leave the area without first clearing through the physician at the official car as to the number of casualties lie carries and to which hospital he is being dispatched. b. Police and Fire officials will refrain from dispatching ambulances to any hospital and will insist upon the ambulance clearing through the official car physician.

IV. HOSPITALS alerted will: a. Immediately inaugurate their hospital Civil Defense Plan notifying doctors assigned as members of their Civil Disaster team and throw their Disaster Plan into action. b. Hospitals will AVOID calling Fire, Police or other law enforcement agencies. If additional assistance is needed, information will be communicated to the doctor at C. D. Headquarters who will cor­ relate this information with the appropriate authorities at that Center.

V. CIVIL DISASTER COMMITTEE MEMBERS will: a. The first one notified will establish the magnitude of the disaster and the extent of the alert necessary. He will then notify the Physicians Exchange as to the extent the plan should be put into effect. He will then proceed to the C. D. Headquarters controlling the site of disaster (City at 420 Fawcett; County in the County- City Bldg. Room Boo in the basement). He will there monitor the short-wave communication regarding medical personnel and care of casualties and coordinate medical activities with those of other C. D. branches. b. Other members of the Disaster Committee will proceed to the hospitals assigned to them to man the radio communications, phones, etc. and will keep in close contact with C. D. Headquarters and the disaster area through these media. Thev will not leave the area of communication system, serving as coordinators and advisors only.

Please Tear Out and Post

B U L L E T I N o f th e Pierce County M edical Society 23

(Continued from page 21) which has a Papanicolaou postive exfolia­ hands which must immobilize the cervix. tion, it was noted that there was one famous Dr. Emig then pointed out that one of the Clinic in this country which docs this. But, biggest difficulties in performing a coniza­ even so, such an approach was regarded as tion of the cervix is the moving target and highly undesirable. It was also noted that a good cone does not result if the rather vigorously that the biopsies of the cervix is allowed to wiggle about. cervix obtained with miniature grappling With the cervix well held, the nondilat­ hooks do not produce very good diagnos­ ing sound is placed gently into the exter­ tic material. It is often too difficult to find nal os and guided into the cervix. The func­ the small scales of squamous epithelium tion of the sound is to act as a fulcrum which usually separate from the base. about which to direct the knife. Dr. Emig emphasized his stand on at­ The actual conc he recommends at o mm. tention to careful detail in performing a in thickness. This may result in one piece cone biopsy of the cervix by stressing that if a patient is justified in a several hundred of cone if the os is reasonably round, but in dollar hospital bill to determine' the state cases of old tears the contour ot the exter­ of the cervix she has a right to expect the nal os may necessitate several directions of most complete diagnostic procedure. Im­ cut and more than one piece of cone. pressionistic slivers of cervix mixed with Once removed, the tissue is given to the eurettings and fixed in blood clot hardly pathologist for flattening and pinning prior seem worth such an expense. to fixation. Serial cuts may then be pre­ — Ed. pared from this flattened cervix and since they are now fixed they will not curl or shrink out of shape in processing. For cor­ relative study with the Schiller test, the sections may be numbered and a reasonably accurate distribution of abnormal epithe­ lium may he mapped out for the entire circumference of the cervix. Dr. Emig stated that 3 mm. depth is sufficient to allow evaluation of gland pene­ tration vs. invasion and yet this depth is not sufficient to interfere with the cervical function and cervical dilatation may be done at this point for subsequent curet­ tage. Again, however, it was pointed out that never should a cone biopsy be pro­ ceeded by dilatation of the cervix. As to the role of frozen section in the > case of the patient with a cervix which u l i appears not involved with cancer but 10-12 HOUR HUNGER CONTROLW ITf NO R EP O R T ED C O N T R A IN D IC A T IO N S DAMMEIER TENUATE DOSPAN Printing Co. BRoadway 2-8303 811 Pacific Ave. Tacoma PATRONIZE YOUR ADVERTISERS 24 B U L L E T I N of the Fierce County M edical Society

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....mi...... iiiijf BULLETIN o f th e Piebce County M edical Society 25 HOSPITALS... St. Joseph’s Central Supply would like to extend a Tacoma General sincere welcome to Valerie Troger who came to us from Australia. Various activities were held at Tacoma During this month several girls from Sur­ General in observance of National Hospital gery have attended various conventions. Week wliich was from May 7 through May Mrs. Wetsch traveled to Seattle with other 13. Open house was held on Sunday, May members from St. Joseph's for the Washing­ 7, with approximately 200 visitors touring ton State Nurses Convention. The Operat­ the hospital. Mrs. Evelyn Stein, Health ing room nurses convention was held in Service Nurse, was in charge of the tours. Portland and attended by Sister Joseph Refreshments were served in Jackson Hall Margaret, Jackie Blakely and Mary Ann under the direction of Mrs. Eudora Fulker­ Hondel. They brought home to us, much son, Chief Dietitian. worthwhile and interesting information A three-act play “Janus” by Carolyn about new trends in the operating room. Green was presented by members of the A dinner party was held in honor of Mrs. Tacoma Little Theater. Jackson Hall audi­ Helen Stewart who left Surgery after many torium was used for the play which took years of service. The Embers, in Lakewood, place on the 5th, 11th, 12th, and loth of served as our dining room and the evening May. was enjoyed by all. Mrs. Edgar Eisenhower opened her home for presentation of awards to Volunteers on Bowling season is over for the summer May 13. About 55 persons were present. and now Mrs. Alma Thomas must return The second annual Personnel Day was to her other hobbies of gardening and rock held on May 10, in the hospital dining collecting. Mrs. Hilda Pennert and Mrs. E. room. Employees with 5, 10, and 20 years Shanks arc anticipating the return of the of service were honored. Mr. Fred Boehm, concert season and it is rumored they al­ Chief Pharmacist, was honored for his 20 ready have their seats reserved for the years of service to the hospital. Hal Magels- coming performances. sen, from the Tacoma Vocational School, Colleen Kenyon and family had a pleas­ was the guest speaker for the occasion. ant trip to Eastern Washington over the Presentation of the awards was made by Memorial Day weekend where they visited W. L. Huber, Administrator. her family. Dorothy DiRe is busy weeding The X-Ray Department has a new recep­ her 50 tomato plants; we can all taste the tionist, Mrs. Jill Feldman. Tilings are back delicious pizza they will make. to normal in the X-Ray Department now Sister Margaret Catherine and Mrs. P. that the therapy machine has been moved Smith attended the yearly orientation meet­ to its new location. ing for faculties of affiliating schools in On May 17, the new Audograph record­ Seattle, Washington. The discussion was ing equipment went into operation in the centered around T.B. nursing and the affili­ hospital. Two recording machines have ation our students take at Firlands. been placed in the Medical Records D e­ Mrs. Reidinger and Mrs. Moe attended partment which tie in with the ordinary the Washington State Convention held in telephones which are in the building. It is Seattle May 18th and 19th. now possible for a doctor to dictate from Each member of the faculty' wishes to any telephone anywhere in the building, by express her congratulations to our seven­ following simple instructions. These tele­ teen graduates and ask that God bless the phone instructions are posted throughout tile hospital. ( Continued on page 27) 26 BULLETIN of the Fierce County M edical Society

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Dealers for—

HAMILTON OFFICE EQUIPMENT LIEBEL-FLARSHEIM DIATHERMY AND ELECTROSURGICAL EQUIPMENT C. R. BARD UROLOGICAL INSTRUMENTS BURDICK PHYSIO-THERAPY EQUIPMENT CAMBRIDGE ELECTROCARDIOGRAPHS WILMOT CASTLE STERILIZERS AND LIGHTS SKLAR, HASLAM AND LAWTON SURGICAL INSTRUMENTS BULLETIN o f th e Piebce County M edical Society 2 7

(Continued from page 25) King County, and the United States Public years that lie ahead of them with success Health Hospitals. This is a yearly event and happiness. It is our further hope that and is one of the highlights of the year for having passed the first mile-stone in Nurs­ the students. ing they will keep the high standards of W e would like to extend a sincere wish the Nursing Profession and prove them­ for a happy vacation to the doctors and per­ selves worthy of the name “Professional sonnel of St. Joseph Hospital. Nurse”. Step by step everything falls in place as remodeling moves on in Pediatrics. We are so proud of our play room which has Good Samaritan taken on a “come hither look” to the chil­ The City Fathers of the Valle)' towns dren and parents as new drapes were hung were given a brief introduction to the hos­ and new furnishings installed. Soon we will pital’s services and facilities on the morning move our nursing station around the corner of May 10 in observance of National Hos­ to the very lovely and compact chart and pital Week. C. W. Myhre, president of the : medicine room. Hospital Board, greeted the group and in­ Home and around again is Elizabeth Bet- troduced other representatives of the hos­ teridge, daughter of Doctor and Mrs. Bet- pital including several other Board mem­ : teridge who was a patient here not too long bers, Mrs. Lovitt, Director of Nursing; Mrs. ago. We hope she will continue feeling Button. Consultant; Dr. James Duffy, Medi­ better. cal Staff; and Paul Teslow, Administrator; A luncheon at Mrs. Reidineer’s was en- all of whom spoke briefly. A tour of the j ^ joyed by the student nurses in our depart­ hospital followed the breakfast. ment preceding the field trip to Buckley Rehabilitation Brochure where they visited the Rainier School for A new pamphlet, “A Total Approach to Retarded Children. This trip enables them Physical Rehabilitation”, depicting the pro­ to see how' retarded children act and what gram of the Good Samaritan Rehabilitation care is given them. Center, was completed recently and is now The annual hospital picnic will be held undergoing distribution. The leaflet outlines Thursday, July 13th at Lake Geneva from the various activities of the Center, which 12 noon until closing time. operates under the medical direction of Graduation exercises were held Saturday, its physiatrist, Sherburne W. Heath, Jr., May 20th for the Medical Technology and M.D. The inside portion graphically por­ Medical Record Technician students. The trays the team concept of coordination be­ graduates attended Holy Mass in the hos­ tween the various medical and para-medical pital chapel and afterwards had brunch in personnel working together in the areas of the cafeteria where they received their physical therapy, occupational therapy, diplomas. social service, clinical psychology, rehabili­ Medical Technology students are: Ra- tation nursing, vocational counseling, chap­ monita Serrano, Luzviminda Gamban, and lain service, speech therapy, prosthetic Celerina Feliciano. service and academic tutoring. Also noted Medical Record Technicians students is the participation of voluntary and State are: Miss Janene Duey, Colleen Harrison, agencies which provide the financial spon­ and Ann Roberts. soring of patients referred to the Center on Last Tuesday the student Medical Rec­ both an out-patient and in-patient basis. ord Technicians with Mrs. Arness and Sister Emmanuel spent a very enjoyable and profitable day in Seattle visiting the Medi- cal Record Departments of Providence, PATRONIZE YOUR ADVERTISERS

BULLETIN o f th e Pierce County M edical Society 29 should listen to—and then invite anyone decided to help them with clothing for whom you have reason to feel may be patients who are ready to return to every­ “with us” and who can write an intelligent day life. Miriam Doherty has offered to be letter to hear the record. It is suggested chairman for this plan and we are asked to that you drink lots of coffee and write lots save underwear, stockings, shirts, trousers, of letters to our Representative, Thor Tol- dresses—anything for teen age and adult lefson, to Senators Warren Magnusson and people in order that they can have changes Henry Jackson, and to Wilbur D. Mills, as they resume normal activity. Chairman, House Committee on Ways and Means. Civil Defense About the letters, do the following: Margaret Harris contacted Civil Defense on the County level after hearing Mrs. 1. address them properly Gadsby’s talk in April, and so on June 13th 2. be local and 15th at Custer Elementary School, there will be a “Home Preparedness” work­ 3. be businesslike shop—with a choice of attending either the 4. be specific afternoon sessions from one o’clock until four, or the evening from seven-thirty until 5. be polite ten-thirty. This is not just for residents of 6. be reasonable the Lakes District but for anyone in the County who may be interested. Mrs. Gads- 7. be yourself by has offered to coine down from Seattle 8. request action to give a day’s course, but the date has not yet been set. Phone Dee Wickstrom, at SK 9. asked for an answer 2-3435, if you are interested in this session. 10. be appreciative Auxiliary Cookbook Mrs. C. W. Reade, our State Legislative chairman, has told Kay Willard that she Ruth Murphy, with Jan O’Connell as co- firmly believes that the Social Security chairman, is already making plans lor the measure will be “sneaked” into the last “Cookbook” of the Auxiliary and the Society meetings of Congress, probably during July (we would like to include the favorite and that it is too late for education—letters recipes of the “chefs” also) and volunteers are our only hope. So during the month of will be welcomed to help with this. You June, get your friends and neighbors in to are also invited to check your recipes so hear this record—and get those letters writ­ that they will be available when they are ten. We were allotted four of the records needed. and Kay has apportioned them out to the following: Margaret Harris, JU 8-2324, in the Lakes District; Keaty Gross, SK 9-2223, We had hoped to make this a chatty in the near North end; Lorraine Adams, epistle for you and yet there has been all of SK 2-1492, in the far North end, and to this to bring to your attention. So the news herself, Kay Willard, MA 7-0630, in the items that we have will be saved for July Main area. This is most urgent so please and the new Bulletin correspondent, Mavis phone of these helpers and line up “Opera­ Kallsen, can take it from here. Have a tion Coffee-Cup” so that we can live to live wonderful summer and we’ll see you in the and fight again. Fall. Western State Hospital Project We have been asked to assist with some project at Western State Hospital and have PATRONIZE YOUR ADVERTISERS 3 0 BULLETIN of the Pierce County Medical. Society Medical Dictionary will almost always remove it; but when it proceeds from a carious tooth, the pain is Circa 1847 much more obstinate. In this case it has been recommended to touch the pained The following definitions were taken part with a hot iron, with oil of vitriol or from Medical Dictionary, 7th Edition, creasote, in order to destroy the aching printed 1847 by Harper and Brothers. nerve; to hold spirit or ether in the mouth; Phimosis—A constriction of the extrem­ to put a drop of oil of cloves, cajeput, or ity of the prepuce, which, preventing the thy mein to the hollow of the tooth, or a glans from being uncovered, is often the pill made of camphor, opium, and oleum occasion of many troublesome complaints. caryophylli. But one of the most useful If the constriction cannot be overcome by applications of this kind is strong nitric leeches, poultices, or the hot bath, the pre­ acid, diluted with three or four times its puce is to be divided by a bistoury passed weight of spirit of wine, and introduced along a director previously introduced. into the hollow of the tooth either by means of a hair pencil or a little cotton. If the Mortality—The rate or proportion of tooth be not too carious, cleaning the cavity deaths in a given place, disease, etc. The and filling it with gold, tin foil, dry phos­ mortality of different countries differs from phate of lime, etc., is usually practiced. the climate, food, and moral condition of When the pain is not fixed to one tooth, the inhabitants. The statistical details upon leeches applied to the gum are of great which the estimates of mortality in any service. But very often all the foregoing place must be based, are seldom of much remedies will fail, and the only infallible value except those formed within a few cure is to draw the tooth. years. It would appeal' from these that in the United States the average duration of Nephritis—Inflammation of the kidney. life is fortv years, while in South America This disease is known by fever, pain in the it is but thirty years, and in Europe about region of the kidneys, and shooting along forty-three years. the course of the ureter; drawing up of the testicles; numbness of the thigh; vomiting; Hospital Gangrene— Generally supposed to arise from specific contagion. It consists urine high colored, and frequently dis­ in a very rapid destruction of parts, not by charged; costiveness and colic pains. Ne­ the formation of ordinary sloughs, but by phritis may be symptomatic of calculus, gout, etc. the conversion of the pails into an ash- colored viscid substance, interspersed with When the disease is protracted beyond bloody specks. It appears to be an affec­ the seventh or eighth day, and the patient tion intermediate between phagedenic ul­ feels an obtuse pain in the part, has fre­ ceration and ordinary gangrene. It prevails quent returns of chilliness and shiverings, only in hospitals, where it is sometimes a there is reason to apprehend that matter is perfect scourge, attacking every wound, forming in the kidney, and that a suppura­ however trivial, so that the slightest oper­ tion will ensue. ation cannot be performed with safety.

Odontalgia—A violent pain in the teeth, The disease is to be treated by bleeding, most frequently in the molares. Toothache general and local, the warm bath, or fomen­ arises from caries, inflammation of the tations to the loins, emollient glysters, mu­ gums, nervous diseases, etc. cilaginous drinks, cathartics, and the gen­ eral antiphlogistic plan. Blisters are inad­ Many empirical remedies have been pro­ missible in this disease; but the linimentum posed for its cure. When the affection is ammoniae, or other rubefacient application, purely rheumatic, blistering behind the ear may in some measure supply their place. BULLETIN o f th e Pierce County M edical Society 3 1

Opium will often prove useful, particularly Substances Taken where the symptoms appear to originate Medicinal Substances: Aspirin gr. V2 1. from calculi, given in the form of glvster Aspirin gr. IV2 4, Aspirin gr. 5 5, Aspirin or by the mouth. In affections of a more gr. 2 V2 1, Sero-syntan, Trisol Vitamins, Ana- chronic nature, where there is a discharge cin, Coricidin, Phisoderm. APC with Co­ of mucus or pus, by urine, in addition to deine gr. V2, Calomine Lotion, ExLax 3. suitable tonic medicines, the uva ursi in Super-Plenamin Vitamins 2, Thorazine moderate doses, or some of the terebinth- Spansules, Flava Vitamin 2, Nytal, Thy­ inate remedies, may be given with prob­ roid gr. 1, Vicks Medicated Cough Syrup, ability of relief. Amoban Mouth Wash, Bactine, Aspergum, Globus Hystericus— The air ascending Chalk Candy Vitamins, Sominex. in the oesophagus, and prevented by spasm Other Substances: Barnheim Wetting from reaching tire mouth, is so called, be­ Solution, Insecticide Vaporizer Solution, cause it mostly attends hysteria, and gives Crest Toothpaste, Indelible Pencil Lead, the sensation of a ball ascending in the "Mouse” Poison, Drano 2, Contents Ther­ throat. This globus, or feeling of a ball in mometer 2, Interior and Exterior Paint, the throat, is a very common annoyance to Windex 2, Rowell Cement. Gasoline 3, Air persons of a nervous temperament; and it Wick, Peggy Sage Finger Nail Polish, Peggy is, with them and others, a common at­ Sage Mascara Oil, Peggy Sage Cuticle Oil, tendant, not only in hysterical, but also in High 12, Old English Furniture Polish, Em­ nervous and hypochondriacal complaints. broidery Coloring, Cream Rinse, Rock Salt, Fits of passion, both of anger, grief, and Snarol Pellets., Pactro Liquid Plastic Ce­ fear, produce it, and often to an extent that ment, Mr. Clean, Sulphate of Ammonia, threatens suffocation. Many emotions of Mennens Baby Magic, Toadstools, Easy Off the mind, even in the strongest, whose 2, Scribbs Ink, Old Spice Shave Lotion, minds were well regulated, give rise to Amino-Triazole, Lighter Fluid 2, Shell this affection. Steadying the mind, cold Handy Oil, Ajax Cleanser, Cope Insecticide, water about the throat, and a small piece Coty‘s Bubble Bath Capsule, White Enamel of ice, or very cold water in the mouth, Paint, Prussian Blue Water Paint, Moth­ generally relaxes the spasm, when an idio­ balls 3, Red Pencil, Lindane, Isotox, Charles pathic disease. Antell Hair Preparation, Carbon Monoxide, Aqua Cleaner, Pine-Sol 2, Blue Ink, Wilt. Ivory Detergent, Black Leaf 40, D.C.W. Poison Control Center Spray Paint, Kerosene 2, Lime Powder, Total Number of Calls______109 French Perfume, Plant Abbs, Hazelnuts. African Violet Leaf, Philadendron Leaf, Calls from parents or other lay persons.. S7 Philadendron Roots, Peony Leaf, Hyacinth Physicians or Hospitals ___ 22 Bulb, Mushrooms 2. Number advised to go to hospital...... 5 Age Distribution Number advised to contact private M.D. 34 Less than 12 m onth______4 Number advised emetics or observe 57 1 to 3 years ____ 39 Number treated in ER (MVGH ) ...... 10 3 to 5 years __ 22 Number hospitalized at MVGH 2 5 to 21 years______4 Information from Clinical Toxicology ..99 Over 21 years______S

No age given ___ .....32 PATRONIZE YOUR ADVERTISERS Pierce County Medical Society BULK RATE Medical Arts Building Tacoma 2, Washington U. S. POSTAGE PAID TACOMA, WASH. PERMIT No. 300

Commanding Officer Ma&igan general Hospital Fort Lewiss Washington

MONTHLY MEETINGS STAFF OF DOCTORS HOSPITAL OF TACOMA Second Monday of March, June, Sept., Dec.—7:30 p.m. Auditorium of Medical Arts Bldg. STAFF OF GOOD SAMARITAN Second Monday of March, June, Sept., Dec.-—6:30 p.m. STAFF OF NORTHERN PACIFIC Second Monday of each month—noon. STAFF OF ST. JOSEPH'S Third Monday of March, June, Sept., Dec.—6:15 p.m. STAFF OF MOUNTAIN VIEW GENERAL HOSPITAL Last Monday of February, June, September and November TACOMA ACADEMY OF PSYCHIATRISTS and NEUROLOGISTS First Tuesday of each month—8:30 p.m. Board Room of Pierce County Medical Society PIERCE COUNTY MEDICAL SOCIETY Second Tuesday of the month except June, July & August — 8:15 p.m. STAFF OF TACOMA GENERAL First Tuesday of March, June, Sept., Dec.—6:30 p.m. TACOMA SURGICAL CLUB Third Tuesday of each month—6:30 p.m. at Tacoma Club TACOMA ACADEMY OF INTERNAL MEDICINE Fourth Tuesday of each month—6 p.m. at Tacoma Club TACOMA ACADEMY OF GENERAL PRACTICE Fourth Monday of each month except June. July & August —6:30 p.m. at Honan's PIERCE COUNTY PEDIATRIC SOCIETY First Friday of each month except June, July and August STAFF OF MEDICAL ARTS HOSPITAL Third Friday of March, June, Sept., Dec.—7:15 a.m. at New Yorker Cafe. STAFF OF MARY BRIDGE CHILDREN'S HOSPITAL Fourth Friday of March, June, Sept., Dec.— 12:15 p.m. BULLETIN- PIERCE COUNTY MEDICAL SOCIETY 2 ______BULLETIN of the F i e r c e C o u n t y M e d i c a l S o c i e t y Pierce County Medical Society 1961 OFFICERS P re sid e n t ______Chris C. Reynolds President-Elect ______.. G. Marshall Whitacre Vice-President -...... -Robert M. Ferguson Secretary-Treasurer...... Arnold J. Herrmann Executive Secretary ...... Judy Gordon

TRUSTEES Glenn H. Brokaw Chris C. Reynolds Dale D. Doherty Cyril 13. Ritchie Robert M. Ferguson Frederick J. Schwind Happy Birthday Arnold J. Herrmann John M. Shaw George S. Kittredge Stanley W. Tuell Robert W. Osborne G. Marshall Whitacre July D E L E G A T E S Douglas P. Buttorff George S. Kittredge Arnold J. Herrmann Stanley W. Tuell 2 PHILLIP BACKUP Herman S. Judd Wayne W. Zimmerman ALTERNATE DELEGATES 8 SIDNEY KASE Charles R. Bogue Robert W. Florence Glenn H. Brokaw Glenn G. McBride JAMES LAMBING Robert M. Ferguson Frederick J. Schwind

COMMITTEES 10 CLARIS ALLISON Ethics HOMER CLAY Miles Parrott, Chairman Haskel L. Maier William H. Ooering JO H N KANDA G rievance Cvrii B. Ritchie. Chairman J. W. Bowen, Jr. Herman S. Judd 11 HARRY CAMP Program WALLACE HOYT Robert C. Johnson, Chairman Robert A. O’Connell Buel L. Sever L ibrary 12 ROBERT FLORENCE S. Rubert Lantiere, Chairman J. Edmund Deming Haskel L. Maier ROBERT JOHNSON Dudley W. Houtz John F. Steele Public Health Max S. Thomas, Chairman 13 FRANK MADDISON Charles McGill Grorgt* A. Tanbara Public Relations 16 JOSEPH TRELEAVEN Rubert M. Ferguson, Chairman Kenneth E. Gross John M. Shaw Arnold J. Herrmann George A. Tanbara 17 HENRY MAKI Arthur P. Wickstrom House and Attendance William E. Avery, Chairman 21 GEORGE KITTREDGE Eugene Hanson Haskel L. Maier Civil Disaster David T. Hellyer, Chairman 23 CHARLES DENZLER Richard B. Link Leo F. Sulkosky John M. Shaw Arthur P. Wickstrom CHARLES McCOY T. R. Haley Charles E. Kemp D iabetes 24 JOHN SHEPPARD Edwin J. Fairboum, Chairman Frank W. Hennings John S. May Entertainment 25 CHRIS REYNOLDS Samuel E. Adams, Chairman L. S. Durkin Robert M. Ferguson Robert A. Kallsen 26 ARCHIBALD HOWE Geriatrics ROBERT McGREAL John F. Comfort, Chairman William P. Hauser William McPhee Leonard Morley 27 FREDERICK SCHWIND Legislative Wayne W. Zimmerman, Chairman Douglas P. Buttorff Charles C. Reberger 28 WILLIAM GOERING John M. Shaw Medical Education Elmer W. Wahlberg, Chairman 31 MARTIN ELTRICH Glenn H, Brokaw Clinton A. Piper FAY NACE Schools R. A. Norton, Chairman Theodore Apa George S. Kittredge Orvis A. Harrelson Jack W. Mandeville George A. Tanbara Traffic and Safety Albert Ehrlich, Chairman Mental Health William H. Todd, Chairman James W. Boudwin Hugo Van Dooren

Bulletin Staff Editor ______Charles C. Reberger PATRONIZE YOUR ADVERTISERS Business Manager ______Judy Gordon Aii\iliitry Neu-s J'id ilor ______Mrs. Robert A. Kallsen in allergic, inflammatory dermatoses g g R HERE’S HOW DILODERM HELPS THE PATIENT-AND THE SKIN LESION lets him work-or rest — rapidly relieves itch and burning spares embarrassment inflammation quickly accelerates healing 0 ^ imate skin’s acid mantle, helps restore normal pH saves him money - ' prevents waste, overmedication a variety of forms — to meet differing patient needs—Foam, Aerosol or Cream Now available, N EW 15 Gm. economy-size tube of Diloderm or dichlorisone acmte Neo-DilODCRM Cream all forms also available with neomycin to combat infection

Available with or without neomycin: Foam Aerosol, 10 Gm. dispenser, 18.75 mg.dichlorisone acetate or IS .75 mg. dichlori­ sone acetate with 37.5 mg. neomycin sulfate (equivalent to 26.25 mg. neomycin base); Aerosol, 50 Gm. container, S.33 mg. dichlorisone acetate or S.33 mg. dichlorisone acetate with 16.6 mg. neomycin sulfate; Cream, 5 Gm. tube, 2-5 mg./Gm. dichlorisone acetate, or 2 f> mg./Gm. dichlorisone acetate with 5 mg./Gm. neomycin sulfate (equivalent to 3.5 mg./Gm. neomycin base). For complete details, consult latest Schering literature available from your Schering Representative or Medical Services Department, Schering Corporation, Bloomfield, N .J. s*e«o 4 BULLETIN of the Pierce County M edical Society

EDITORIALLY SPEAKING

From A Circular File

James Harwood, Staff Reporter for The Wall Street Journal, headlined his story on Colorado’s health problems with “Health Plan’s Ills” and this eye- catcher succeeded in causing the Editor to pull the June 9, 1961 issue of "The Journal” out of a more successful gentleman’s waste basket.

Mr. Harwood reports that a little more than three years after it began, Colorado’s once widely heralded program of medical care for the aged is undergoing emergency surgery. He points out that the emergency surgery was a stiff cutback in benefits following disclosure that the cost of the old age medical program was far outstripping the $10 million budgeted for the fiscal year ending June 30; a $1.4 million deficit was looming. But the cutbacks were not going to do the job and even with them the state officials were antici­ pating a deficit of more than $600,000 by the end of the fiscal year.

He points out that the rise of hospital costs contributes to the woes but that the bulk of the problem is wrapped up in the phrase, “over utilization of facilities”. In fiscal 1957-1958 the first full year of the plan, costs were $6.5 million; the next year they climber to $8.2 million and the third year, this one, the costs are up to $10.3 million.

Mr. Harwood carefull analyzes the reasons for utilization of facilities from abuses of patients who like hospital food and attention, to patient’s rela­ tives who benefit from “baby-sitter service” to relieve them of the burden, temporarily at least, of taking cure of the oldster in the house, to hospitals’ altering of the books, to doctors who admit patients who don’t need to be in a hospital at all.

In an unusually sensitive bit of reporting, Mr. Harwood brings out the reasons for this seemingly irresponsible action of doctors which has received sharp criticism. He does not leave out the fact that it is easier to see many patients in one hospital than an equal number scattered in as many houses, but he does bring out the pressures brought to bear on the doctor by the patient and the patient’s family. He quotes Dr. Robbins of Denver who said “Take the doctor in the small town for instance. He’s got to live in that town. It’s hard for him to turn folks down. And even the city doctor has to remember that BULLETIN o f th e Pierce County M edical Society 5

each elderly patient has about 15 members of his family who are also patients and who won’t be too happy if the old man isn’t treated well.” (All so!)

It is of interest that Colorado hospitals have a new hospital committee now, even without the help of the Joint Commission on Accreditation of Hospitals. The Welfare Department ordered hospitals to set up admissions committees of three staff doctors who rule on the condition of all patients. This is for now. One wonders how long it will take before officials in states plagued by the Care for the Aged Programs will put up with three biased staff doctors and resort to a more impartial tribunal of three distinguished and public-spirited citizens. One wonders too why such a watch-bird should limit its activities just to the hospitals. Why not a complete review of all cases by disinterested boards?

Possibly a solution to tin's problem is to put all the doctors on a salary so that the government and its boards can control doctors activities more effectively. So long as there are other states to which to escape it would be difficult to place suddenly under a payroll all the doctors of a state but if the federal government succeeds in passing its Forancl type legislation there will be no escape.

It’s still not too late to write some letters to your Representatives and Senators . . .

Senator Warren G. Magnusson

Senator Henry M. Jackson

Senate Office Building Washington 25, D.C.

Representative Thor Tollefson

House Office Building Washington 25, D.C. — Ed.

EVERY DROP PURE HEAT "Glasses as your eye physician prescribes them" /siH)D\ STANDARD \HIATINC OltS J Heating Oils Contact Lenses — Artificial Eyes

Call MA. 7-3171 Columbian Optical Co. Fuel Oil Service Co. Ground Floor, Medical Arts Bldg. 816 A St., Tacoma Medical Center Mark Dolliver Jack Galbraith Western Clinic Bldg. 6 B U L L E T I N of the Pierce County M edical Society On High Heels and Broken Bones

For tlie past few days the Pierce County Medical Society office has had only short visits by our executive secretary, Mrs. Judy Gordon. She has thrown aside her stylish PHARMACY high heels for a bit of plaster footwear styled by two of our local plaster masters. 101 North Tacoma Avenue On Friday, June 16th, she came home (“Sober,” I regret to state!) flashing her high-heel spikes and stepping (“Who Prescription knows? It happened too fast!”) on or off a board in Judy’s alley. The crunch betrayed Druggists the fact that Jaunty Judy had done some­ thing more serious than loosing a heel. Her opinion was verified by our plaster artists and they enclosed the ailing tibia and fibula ★ in their latest design wrap-around. Even if Judy has to go to several female gatherings We Carry a Complete Stock of and be accused of failing to wear some­ thing different each time, she has to wear Biologicals and Pharmaceuticals this creation for at least eight weeks.

It might be noted that if heels keep get­ ting any thinner, the day may soon come ★ when they disappear entirely and ballet points become the tiling. Then our ladies could tippy-toe around on the point with "When Moments Count" no heels at all! Who knows what the ladies would fracture in a fall from such a height? With the heel-less women prancing around Ulanova, the linoleum makers, car­ FUlton 3-2411 pet men and even the Boeing Company designers—all concerned with these hole PROMPT . . . FREE DELIVERY punching heels—could lean back and sigh with relief. At least they would enjoy relief until the toes too become spiked. ★ At any rate, this episode has put the Rus­ sian literature to some use. These varying and sized books and journals stack very nicely for a foot rest. The Safeway box was too low and soft in the middle and the Society chairs are too hard and too high. The stack Doric Pharmacy of periodicals like baby bear’s mush, was just right. But these proved too unpredictible. As FUlton 3-1145 this goes to press Judy will be in bed at T.G . — Ed. BULLETIN of the Pierce County M edical Society 7

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Haldrone is a potent synthetic corticosteroid with marked anti­ inflammatory activity. In steroid-responsive conditions, it pro­ vides predictable anti-inflammatory effects with a minimum of untoward reactions. Gratifying response has been observed in patients transferred from other corticosteroids to Haldrone. There is relatively little adverse cfiect on electrolyte metabolism. With Haldrone, sodium retention is unlikely, psychic effects are minimal, and there appears to be freedom from muscle weak­ ness and cramping.

C ortison e...... 25 mg. Hydrocortisonc ...... 20 mg. Haldrone, 2 mg Prednisone or prednisolone .... 5 m g. is approximately Triamcinolonc or equivalent to mcthylprodnisolone ...... 4 mg. Dexamcthasone ...... 0-75 m g.

Although the incidence of significant side-effects is low, the usual contraindications to corticosteroid therapy apply to Haldrone.

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ELI LILLY AND COMPANY * INDIANAPOLIS 6, INDIANA, U.S.A. I 140049 8 B U L L E T I N of the Pierce County M edical Society New Hope For alcoholic who is basically intolerant to al­ cohol; and the escape drinker who grad­ Alcoholics ually exhausts his tolerance for alcohol. O’Hollaren, with Freund, has developed an DPN (oxidized form) is a drug worth alcohol tolerance test which may prove to watching for. This coenzvme from yeast, be of great value. This test determines the remembered from biochem days as diphos- ratio of acetaldehyde to alcohol and acts as phopyridine nucleotide has been used in an index of the body’s ability to keep down IV and IM therapy for drunkenness and /the acetaldehyde level. The more “far delirium tremens by Dr. O’Hollaren of gone” the alcoholic becomes, the higher will Seattle with some dramatic results. He re­ be his accumulation of acetaldehyde in pro­ ports his findings in the current Western portion to alcohol. Journal of Surgery, Obstetrics and Gyne­ cology. The problem now is that Abbott, Dr. O’Hollaren has opened the door to a which has sewed up the production rights, vigorous approach to diagnosis of alcohol­ is having almost their entire production of ism as an organic disease. His substitution DPN drained off to Lexington, Kentucky of a depleted coenzyme may completely where D T ’s are as common as dental caries. revolutionize alcoholic management. Un­ Remembering Inferon and mice, if the doubtedly the effects of DPN invite its food and drug boys do not find that DPN abuse but its actions have been extremely causes cancer in the sea cucumber, we may valuable in changing the history of some soon find DPN on the market available for alcoholics and it is hoped that it will serve use not only in treating and curing acute to improve the picture of alcoholism in the DT’s but also in relieving hang-overs and United States. It might, with injudicious helping alcoholics achieve abstinence. use, make it worse. —Ed. Dr. O’Hollaren points out that DPN is not a drug to make social drinkers out of alcoholics but, if the material becomes readily available, it may come to be re­ FIRST NATIONAL quested by nearly every patient with a hangover. For the man who wants to get AUTO LEASE soaked and hopes to avoid a hangover, this stuff will fix that too. For the habituated COMPANY (addicted) alcoholic, DPN eliminates the physiological craving for more alcohol. It 624 Broadway is as dramatically helpful for the surgical patient who, having been removed by hos­ MArket 7-6171 pitalization from alcohol, comes out of anesthesia suffering with acute delirium tre­ SPECIAL LOW RATES ON mens as it is for the alcoholic who develops MAINTAINED BUSINESS CARS D T’s without medical aid. FOR PROFESSIONAL MEN The action of DPN in alcoholism and delirium tremens is not clear since this co­ 1 - 2 - 3 - Year Leases enzyme is so ubiquitous in its sites of activity. It is reasonable to assume that it helps clear the system of acetaldehyde but SEDANS - STATION WAGONS one is led to wonder if the alcoholic may HARD TOPS - CONVERTIBLES not have more than acetaldehyde pile-up. THUNDERBIRDS Dr. O’Hollaren feels that alcoholics be­ long in two very different groups: the true BULLETIN of the Piebce County M edical Society 9

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Our group, composed of 130 doctors and Medical Meeting their wives from all parts of the United DeLuxe States, listened to lectures in the mornings and then had the run of the ship during By George G. R. Kunz, M.D. the afternoon. Perhaps the nicest part was I arrived recently in Miami Beach—but being able to discuss medical problems, my luggage didn’t. Nobody knew where it theories and practices with those professors was or when it would arrive and there I informally around the pool. I believe it was as an alternate delegate to the Ameri­ possible to absorb much more with hours can Academy of General Practice Annual of this than through didactic lectures. Also, Meeting—using Time magazine as a fig talk turns to widely different phases of leaf. medicine which are not commonly dis­ cussed from a speaker’s platform—such as In Miami Beach the girls get prettier medical economics, politics and the lec­ every year, the bathing suits get scantier turer’s personal ideas. and the men get fatter. The bigger the men’s stomachs, the skinnier their legs seem Our ship was the Franca-C, a pure white to egt and, as they stand around tri-focaling Italian vessel staffed with 35 cooks for her the girls, they look like a flock of pregnant 260 passengers. She sailed us a total of flamingos. 3400 miles. During the cruise we were en­ tertained by a group of singers, dancers, After “batching” for a week, my wife magicians and comedians, together with a arrived by slow freight (then I had to stop well-planned social program. We visited ogling). The meetings at the Miami Beach four parts of call, going as far as St. Thomas auditorium had been excellent, well at­ and Martinique. Medically, the most inter­ tended, and sitting in on the policy-making esting was San Juan, Puerto Rico where meetings of the Academy was instructive we spent a day with the local General (though long-winded). We boarded our Practice Academy. They lectured us on the Carribean Cruise ship the next day for a island diseases, showed us through the hos­ post - convention “Invitational Scientific pitals and in the evening provided a ban­ Congress.” quet with speakers. The medical lecturers aboard were Dr. Puerto Rico’s main problem today is the Ed Rynearson, chief of Endocrinology at Schistosoma of Manson’s disease. This liver the Mayo Clinic, and Dr. Jack Glassman, fluke which affects 10 to 40% of the popu­ chief of Surgery at Miami University Medi­ lation, passes through an intermediate host, cal School, and some other lesser lumin­ the small snails found in the drainage aries. Incidentally, Dr. John Middleton of ditches of the island, and back to human Seattle who is on the Board of the Acad­ beings. It produces a large spleen and emy, was along as a moderator. This M.D. live)-, an eosinophilia of as much as 80%, has an excellent chance of becoming presi­ and a WBC of 50-100,000. Outside of this dent of this group (now second only to the major problem, on which five agencies are A.M.A. as the largest medical organization now working, San Juan’s health record has in Am erica) in the next few years. This been amazing. Thanks largely to the Amer­ would be a real honor for our Northwest. ican dollar, life expectancy has risen from Dr. Rynearson, taking the usual ribbing age 45 to age 70 in just the past twenty about Mayo, stated the situation succinctly. years. Malaria has been eradicated and T.B. He said there are three greatly over-rated mrakedly lessened. items on the American scene today— South­ Some medical peals picked from both ern fried chicken, home intercourse, and the Mayo Clinic. (Continued on page 12) BULLETIN o f th e Pierce County M edical Society LI

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BULLETIN o f th e Pierce County M edical Society 13

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(Continued from page 12) den changes in their established habits of many years. cleared from the G.I. traet it will reoccur. Bet with the odds. Call every pain in the Use mycostatin— in trichomonas treatment belly appendicitis and every chest pain will take 6 months. Husbands should have pneumonia and 90£/ of the time you will •3 prostatic smears with trichomonas exams make a brilliant diagnosis; the rest of the as 90% of m ales are positive. time everyone else will also be wrong.

Dr. Glassman spoke on hernias and on “Do not harm" is the first principle of a series of four huge blackboards with step- therapy. ladders, drew with fluorescent chalk under ultraviolet lights. He sketched beautiful Let's close with the beautiful blonde in anatomical drawings depicting the main the Cadillac who pulled over to the curb hernial varieties and stressed anatomy as and said to the sailors, “Hey, you guys, the keyword in hernia repair. of all gen­ c’mere and I’ll give you something you’ve eral surgery is herniorrhaphy, and there is never had before!’’ And one sailor said to no such thing as a “simple” hernia. the others, “Run like Hell, fellas—she’s got leprosy!’’ Dr. Alton Oschsner stated a person who has had a gastric resection has twice the chance of forming a cancer in the remain­ ing pouch as then ormal. These are usually Classified Advertising missed because they are not looked for.

Post-gastrectomies should be followed care­ FOR SALE BY OWNERS fully and gastroscopy is the best way to REAL CHOICE HOOD CANAL WATERFRONT detect pathology here. OR BACK LOTS— located on a beautiful point, fine pea gravel beach; private com­ 20-30'/ of cases of polycythemia vera munity launching ramp; dock with float; have major complaints referable to the ex­ private lodge and shop. SELECT YOUR LOT NOW AT WINTER PRICES WITH AL­ tremities. Therefore, it must be considered MOST ANY TERMS. . . . CALL OR in all cases of peripheral vascular disease. W RITE Dr. C. Russell Perkins, Office, SK 2-422S; Home, SK 2-8123; 2613 No. 21st, Tacoma, Washington. The relationship of substernal pain to exertion is a far more important factor in the diagnosis of angina pectories than is MEDICAL SPACE AVAILABLE TACOMA NORTH END radiation of pain to the left arm. New Medical-Dental Bldg.; completely equipped; Unexplained anemia in a man always on arterial street; in well populated residen­ tial area; off-street parking. Large reception means something. Among other things, ex­ office with business office adjoining (2) pri­ amine his caecum and ascending colon vate offices - six treatment rooms, laboratory, (2) rest rooms, wide hallway. carefully— even in patients under 30. For information, building plan, call or write Mr. Robt. Goldberg, 4320 N. 27th, Tacoma, Pruritis and eosinophilia may be your Wn„ days FU 3-3484 — eve. SK 9-7035. only clues to a Hodgkin’s disease.

Always consider mesenteric vascular ac­ MEDICAL SPACES FOR RENT IN L A K E W O O D cident if ( I ) abdominal pain is very FURNISHED OR UNFURNISHED severe, (2) physical finds are scarce, (3) DOCTOR, do you want a completely furnished pulse and white court arc' high with a low Lakewood Office with ample parking? temperature, and (4) if vomiting, diarrhea, Two brand-new medical suites are now avail­ able in new Lakewood Professional Village or other signs of obstruction are present. building, suitable for part-time, full-time, single or shared occupancy. Located between In the- management of old people use new Lakewood Hospital and Villa Plaza Shop- medication cautiously and make no sud­ ing Center. Contact: Mitch Gasparovich, 3660 Talioma Place, Tacoma 66. Phone SK 2-2033. 15 BULLETIN of the Pierce County M edical Society for infants allergic to cow’s milk a modern milk substitute rich and creamy in color, pleasant and bland in taste

Sobee has the rich, creamy appearance that mothers expect of a formula. Sobee is pleasantly bland, with­ out the “burned-bean” flavor or chalky aftertaste frequently associated with a soya formula.

Symptomatic Relief. Symptoms of cow’s milk allergy —most frequently manifested by eczema, colic and gastrointestinal disturbances—may be relieved within 2 or 3 days. Good Stool Pattern. In a study of 102 infants on Sobee, the number of stools ranged from 1 to 4 per day.1 Soya stools are bulkier than cow’s milk stools. Constipation is infrequent.

Easily Prepared. Mothers need add only water to either Sobee liquid or Sobee instant powder to pre­ pare a formula with a nutritional balance comparable to cow’s milk formulas.

1. Kane, S.: Am. Pract. & Digest Treat. 8 :6$ (Jan.) 19S7.

Milk-free soya formula 16 BULLETIN o f th e Pierce County M edical Society

trip to California and Nevada which the HOSPITALS... family had taken before Mr. Trimble started his new position. Tacoma General The Hospital office welcomes Miss Helen Schwartz. Miss Schwartz is the new Pur­ On June 26th and 27th a hospital legal chasing Agent for the Doctors Hospital of institute was held in Seattle at the Ben­ Tacoma. The Hospital also welcomes Mr. jamin Franklin Hotel. Various speakers William Zambella, who is the new day­ told about recent trends in hospital and time orderly. medical legal suits and various opinions from courts throughout the country. The A belated wedding party was held by the Institute was sponsored by the Association employees of The Doctors Hospital in of Western Hospitals; there were represen­ honor of Mr. and Mrs. Douglas Williams. tatives there from nine of the eleven West­ Mr. Williams is with the X-Ray Dept. ern states. Those attending from Tacoma Miss Betty Jo Pfeiffer, of the Credit De­ General were: Mrs. Hoffman, Mrs. Moms partment is enjoying a two week vacation and Mrs. Turner from the nursing depart­ trip to the Hawaiian Islands. ment, and W. L. Huber and H. R. Owens from administration. The Doctors Hospital recently purchased an Autoclave. This is a high speed Thermo- The annual Hospital picnic will be held matic Instrument and dressing sterilizer on July 6th at Point Defiance. This is an which provides an automatic positive all day affair making it possible for em­ check of proper sterilization. ployees from all shifts to attend. On June 28th the School of Nursing held Hymn To The Welfare a tea in honor of the National Council of Jewish Women at Jackson Hall. This was State in recognition of the number of scholar­ ships that this organization has provided The Government is my shepherd, for girls to attend the school. Therefore I need not work. It alloweth me to lie down on a good job, Lucille Larson reports a successful meet­ It leadeth me beside still factories; ing of the American Society of Medical It destroyeth my initiative. Technologists at the Olympic Hotel in It leadeth me in the path of a parasite Seattle. Miss Larson was the general chair­ for politics sake. man for the event which drew members from all parts of the country. Yea, though I walk through the valley of laziness and deficit spending, I will fear no evil, for the Government Doctors is with me. It prepareth an economic Utopia for me, by A luncheon farewell party was held in appropriating the earnings of my the office of the Doctors Hospital of Ta­ grandchildren. coma honoring Mr. Kenn Trimble. Mr. It filleth my head with false security; Trimble had been an employee of the hos­ My inefficiency runneth over. pital for over fourteen years, and recently Surely the Government should care for me terminated his position, that of Purchasing all the days of my life! Agent, to become Assistant Superintendent And I shall dwell in fool’s paradise forever. of Wesley Terrace, a Methodist Retirement home, located at Des Moines, Washington. — ( from Bulletin Los Angeles Luggage was given to Mr. Trimble for a Medical Society) BULLETIN o f th e Pierce County AIedical Society 17

years of effective use now prescribed for more than 650,000 patients

’’‘TRADEMARK, REG. U .S . PAT. OFF.— TOLBUTAMIDE, UPJOHN The Upjohn Company, Kalamazoo, Michigan

COPYRIGHT 1961, THE UPJOHN COMPANY 18 BULLETIN of the Fierce County M edical Society

MOUNTAIN VIEW FUNERAL HOME

Takes Care of Everything

UNDERTAKING CEMETERY CHAPEL MAUSOLEUM

4100 Steilacoom Boulevard JUniper 4-0252 BULLETIN o f th e Pierce County M edical Society 19 WOMAN’S AUXILIARY '7# "7/ie Pierce. Cwwtty M edical ^ocietif arc available, and tapes may be available AUXILIARY OFFICERS—1961-62 by the time this is off the press. President - ...... M rs. Kpnnoth E. Gros< President-Elect ------Mrs. Herman S. Judd Also discussed at this Board meeting 1st Vice-President...... Mrs. Philip Grenlev 2nd Vice-President ...... Mrs. Robert R. Bin I was a possible change of date for our fall 3rd Vice-President...... --.Mrs, William Burrow. fashion show. Maybelle Miller is in charge 4th Vice-President ...... Mrs. Dale Doherty Recording Secretary . _ Mrs. Dudley \V. Hunt/ and will try to move the date up to early Corresponding Secretary. . Mrs. Arthur P. Wickstrom October if that is feasible. T re a s u re r------Mrs. Haskel L. Maier A ssistant Mrs. Glenn 11. Brokaw Elvina Brokaw announced the Nurses COMMITTEE CHAIRMEN Scholarship award to La Deema Jenkins of American M edical Education Foundation ...... _ M rs. E lm e?r W . Walilberu Puyallup. This outstanding girl won over National Bulletin . ..M Jack Mandevilli Civil Defense ..... Mrs. Robert R. Bml close competitors by reason of her espe­ H is to ria n ...... Mrs. Charles J. Galbraith cially well-phrased essay on why she wants Legislative — ...... Mrs. Samuel Is. Adams Membership .. ..Mrs. Galen H. Hoover and to be a nurse. Her scholastic record, her Mrs. M. E. Laurence achievements in the study of science, and Nurse Recruitment.. ______Mrs. G. W. BisehoH Paramedical______... —Mrs. Mvron A. Bass her experience working in a local doctor s P r o g r a m ______...... Mrs. M. |. Wieks office alter school hours will indicate this P u b lic ity ...... M r s . R o b e r t ( !. Jo h n s o n B u lle tin ...... M rs. Robert A. Kallsen young lady to be quite worthy of the S600 R e v is io n s ...... Mrs. Richard F. Barrnni.m scholarship award. Auxiliary can be justifi­ S a fe ty ...... Mrs. Robert W. Osborne S o cia l ...... Mrs. Robert W. Florence anrl ably proud of this program which has not Mrs. Charles P. Larsen only assisted these girls in pursuance of Speakers Bureau ...... Mrs. Philip Grmle\ T e le p h o n e ...... Mrs. Richard B. Link their nursing careers, but has also been in­ T o d a y ’ s H e a lth ______Mrs. Bernard R. Rowen strumental in creating more interest in Minute W omen ______Mrs. George A. Race ami Mrs. Thomas R. West nursing as a career for girls of better-than- Community Service ______..M rs. Orvis A. f-Iarrelson H e a r t...... Mrs. Edward R. Anderson average capabilities. C a n ce r______Mrs. J. Robert Brooke F in a n c e ...... Mrs. J. Robert Brooke The Cook Book will be cooking during Community Council...... Mrs. John F. Steel- the summer. Ruth Murphy is chairman of D a n c e ______Mrs. John S. Mav and Mrs. David F. Dve this interesting project which replaces Fashion Show______Mavbelle Miller am' M rs.’ Russell (.). C-.llev Game Night of years past. Judging by Aux­ Cook Book______..Mrs. Thomas B. Murphv and Mrs. Robert A. O’Connell iliary’s wonderful luncheon meeting menus we mav hit the best seller lists with this publication. The Book is still in embryonic Auxiliary’s Board met June 9th at presi­ dent Keaty Gross’ house for coffee and dis­ stage, so if you have any ideas toss them cussion of plans for next year’s program, as into the hopper. Besides having the best well as a preview of the recording “Opera­ cooks in town among our membership, we tion Coffee Cup”. This record by Ronald have a lair sampling of foreign cookery Reagan on the topic of socialized medicine experts, and some gourmet husbands . . . is sponsored by AM A Auxiliary, to be such as Arnie Herrmann and his famous used as a tool in re-cultivating our position bean soup, Sam Adams’ Swedish pancakes, in the eye of the general public. It should Bob Kallsen’s boiled egg. be heard by many of our well-meaning mis­ From the Beach informed friends and neighbors, plays well Columnizing from Burton, news may be at an informal coffee hour, and was de­ a little rancid, just as our front lawn is signed for this purpose. If you are inter­ since Joan Anderson’s boys dissected a ested in this type of gentle crusade, con­ tact Keaty for particulars. Several records (Continued on page 21)

BULLETIN o f th e Pierce County M edical. Society 2 1 barn door skate here the other hot evening. recently and were told he was out installing Typical of the Anderson genius, one boy a bathtub don't be alarmed . . . he has not bicycled off with the skate’s still-pulsating given up medicine for plumbing. A man of heart in a paper cup, to announce his find­ many talents, handy Bill did most of the ings along the beach. work himself improving their new home. Its on ten acres next to McChord Field, Before heading east early last month to close by the thirty acres where they keep visit her mother, Jeanne Judd sent us a list their horses, and just down the road from of potential news items including, “Ruth the Pipers on their fifteen. Doctor and Mrs. and Bob Brooke wall retreat to a mountain John Alger will now make the Hauser resi­ cabin 011 Mt. Hood after a family wedding dence on Madrona Way their home. in Portland”, which we print with trepida­ tion. While Jeanne was away, construction Doctor and Mrs. George Gilman have began on their new backyard swimming moved into another of Tacoma’s best new pool, and it may be completed this week. homes, 011 North Union. They plan to spend The Robert Florences are also enjoying a the summer entertaining relatives from the beautiful new swimming pool at their East. Marge and Jim Wicks toured New' home. York while their boy paddled his way to Alaska. Peggy and Ted Haley and their Tom and Billie Jean Murphy are news children went to Yellowstone the last week again with a fabulous new sailboat. of June. Launched the Sundance just last month by its new owners, this gorgeous 47 foot sloop The John Shaws and their six children was. originally built by Harbine Monroe, is also stopped at Yellowstone on their way registered Tacoma No. 1, and races in the back to Michigan for a two weeks’ visit at A class. One Sunday afternoon Sundance the DeTar’s summer place on Torch Lake. swept into Quartermaster Harbor on a We talked with Wibby Bischofi after brisk south wind, and had all of us on the her return from the Hague, Holland. She beach diving for our glasses to watch with and three year-old Joanne had visited Dr. real pleasure this magnificent sight. Fly­ BischofFs mother there for six weeks. ing along just between the wind and the Wibby speaks a little Dutch, since she and water, Sundance skirted the beach, leav­ Knoest had lived there a year and a half ing the assortment of moored boats in her before coming to Tacoma, gets along well wake like insects bobbing on choppy water. in conversation with friends and relatives, Lorraine and George Kunz and their six but was absolutely stymied the evening children are beaching it at Tallequah. The Kennedys, including their new baby, arc ( Continued on page 23) out at their beach place on the peninsula for the summer. The Schwinds took their ------.-.-.-.-.I children to Ocean Lake, Oregon for ten clays. The Arnold Herrmann family toured Disneyland the last two weeks in June. BEALL’S The Mandevilles are trailer-camping 011 Vancouver Island. The Hoyers plan a trailer | The Prescription Store ; trip to Wyoming this month if they can get away from their new ski-boat, since teen­ 124 Meridian South age children and ski boats work like con­ tact cement. PUYALLUP The Hausers have moved out to the Phone Puyallup 5-8444 ; south forty. If you’ve called Doctor Hauser I ...... wwmmwm} 2 2 BULLETIN o f th e Pierce County M edical Society

F L l i H SOMETHING NEW M Has Been Added To Our Fleet M A A

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Free Prescription Delivery BULLETIN o f th e Pierce County M edical Society 2 3 (Continued from page 21) Trademarked Drugs . . . they went to see My Fair Lady . . . the fair or “drugs anonymous”? lady spoke in Dutch cockney. W ibby said the weather there wasn’t the best, but she Doctor: This message is brought to you had a very pleasant visit nonetheless, and on behalf of the producers of prescription stopped several days in New York to visit drugs to help you answer your patients her own family on the way home. questions on this current medical topic. For additional information, please write Phar­ Ruth Houtz, Elvina Brokaw, Pat Hoover, maceutical Manufacturers Association, 1411 and Dee Wickstrom left husbands at home K Street, N.W., Washington 5, D.C. and took their children to Seaside for four In the field of medicine, as almost every­ days. While Ruthie was gone we went out where else in a free economy, the trade­ racing with Dudley one evening, on that mark concept has evolved over the years. beautiful sailboat of theirs, the Twinkle. As with most human institutions, there are Like a real dude, we brought along a nice some who may not consider it ideal; but it picnic supper for the boys, but as it turned has brought about three signal benefits: out our long legs, our fried chicken and A. To the physician it gives assurance asparagus sandwiches were everywhere of quality in the drugs he prescribes— tripping the crew. Twinkle tore across to assurance backed by the biggest asset of Manzanita and back anyway, was fifth out the maker, his reputation. of twenty-one around the flag. Handicaps placed us second wniners in the race. Sun­ B. To the manufacturer it gives one of dance waltzed third around the flag, won the greatest possible incentives to produce third. new and better curative agents. C. To the pharmacist it gives prepara­ tions which he can dispense with confi­ St, Joseph’s Picnic dence. If trademarks are done away with, a St. Joseph’s Hospital wall hold its annual whole new setup must be created: staff picnic on Thursday, July 13th at Lake 1. An enormously expanded, expensive Geneva. Anytime from noon on, all doc­ system of government quality control. tors, and nurses from St. Joe’s are invited 2. A new system of generic nomenclature to come and bring their families and enjoy which would magically turn out names not a day of swimming, boating, etc., and a only rememberably simple, but also con­ wonderful picnic supper. forming to the principles of complex chem­ ical terminology. 3. Something new to fill the gap left by the elimination of the trademark incentive to produce new and better drugs. The American system has been preem­ inent in producing and distributing good 10-12 HOUR HUNGER CONTROL WITH medicines. Above all it has been successful NO REPORTED CONTRAINDICATIONS in creating new advances in therapy. In a dubious effort to provide cheaper medicines TENUATE* DOSPAN* by abolishing the trade names upon which the responsible makers stake their reputa­ tions, let us beware of sacrificing this success. —Medical Society Magazine Group PATRONIZE YOUR ADVERTISERS Editorial Service 24 B U L L E T I N of the Pierce County M edical Society

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It takes so little to trigger an asthmatic attack...

it takes so little M O R 6 to control it... the simple addition of ^TTIR^IX to your classic anti­ asthmatic therapy increases therapeutic success even in Hiffinillt IlsltiPVltC Eacfl MARAX tablet contains: ATARAX® {hydroxyzine HCI) 10 mg.—an U ll I lu U I I \1Q U G lllO antihistaminic tranquilizer beneficial in bronchial asthma and allergy.* Ephedrine sulfate 25 m g.-to reduce congestion. Theophylline 130 mg. — for bronchospasmolysis. “Superiority of [MARAX] seems attributable to the inclusion in it of hydroxyzine in place of the conventional barbiturates.”2 In a series of patients generally refractory to the usual antiasthmatics, and who required steroids in order to obtain temporary relief, 70% showed good to excellent symptomatic relief with MARAX. Patients "...slept more comfortably and breathed more easily. The characteristic asthma wheeze was either markedly reduced or entirely relieved."3 If your asthma patients do not respond to standard therapy, they may need the "little MORE" that MARAX offers.

Usual adult dosage: One tablet 2 to 4 times daily. Full prescription Information on request. Supplied: Bottles of 100 light blue, scored tablets. Prescription only. References: 1. Santos, I. M. H., and Unger, L.:Ann. Allergy 18:172 (Feb.) 1960. 2. Charlton, J. D.: Ann. Al­ lergy, in press. 3. Shaftel, H. E.: Clin. Med. 7:1841 (Sept.) 1960.

New York 17, N. Y. Division, Chas. Pfizer & Co., Inc. Science for the World's Well-Being® 2 6 BULLETIN of the Pierce County M edical Society

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HAMILTON OFFICE EQUIPMENT LIEBEL-FLARSHEIM DIATHERMY AND ELECTROSURGICAL EQUIPMENT C. R. BARD UROLOGICAL INSTRUMENTS BURDICK PHYSIO-THERAPY EQUIPMENT CAMBRIDGE ELECTROCARDIOGRAPHS WILMOT CASTLE STERILIZERS AND LIGHTS SKLAR, HASLAM AND LAWTON SURGICAL INSTRUMENTS BULLETIN of the P i e r c e C o u n t y M e d ic a l S o c ie t y 27 Poison Control Center getta Pellets, Lyric Bubble Bath, Blue Ink, Purex, Vigoro Fertilizer, Old Spice After Total number of calls______123 Shave Lotion, Ajax Cleanser, Ortho Rose Calls from parents or other lay persons- S9 Dust, Thunderbird Wine, Castor Beans, Physicians or Hospitals.— ...... 34 Acrilic plastic cement, Hoppes Gun Clean­ er, Rust Stain Remover, Organic Nu Life Age Distribution Pellets, O’Cedar Furniture Polish Triox Less than 12 months______1 Weed Killer, Gasoline, Avon Deodorant, 1 to 3 years ______43 Tame Hair Rinse, Drano, Revlon Angel 3 to 5 years______21 Base, Noreen Color Rinse, Alaska Fish Fer­ 5 to 21 years______10 tilizer, Tracinets, Hyponex Powder. Over 21 years ______10 Number advised to go to oHspital.. — 5 No age given _____ 38 Number advised to contact Private M.D. 42 Number advised emetics or observe 4S Substances Taken Number treated in ER (MVGH) S Number hospitalized at MVGH------1 Medicinal Substances: Aspirin gr. 1 1, Information from Clinical Toxicology....116 Aspirin gr. lVi 3, Aspirin gr. P /2 2, Aspirin gr. 5 4, Bufferin 1, Vicks Cough Syrup, Tincture of Benzoin, Mylison, Boric Acid, Iron Lung ExLax, Ascarel, Thyroid, Purepac Derma Rub, Dexamyl Spansule, Phenobarbital, Mr. R. M. Thomas of the Olympic Ma­ Complexion Liquid, Calomine Lotion with chine Works has an iron lung which he Phenol, Tera-corid Opth. drops, Dociden, would like to give or loan, without charge, Peritrate with Phenobarbittal, Penicillin to someone in need of the equipment. Caps 10,000 units, Bactine Antiseptic, Tri- The respirator was original!}' constructed Vi-Sol Vitamins, Micrin Mouth Wash, Un­ by Mr. Thomas for a patient who no longer known Medication 2, Med-Rol. needs it and he would like to make it available to anyone requiring it. The ma­ Other Substances: D’Con Rat Poison, chine is well-built and works perfectly. Avon Deodorent for Men 2, Calgonite, Cy­ anide, Sodium Fluoride, Chigger-Tox, Rev­ Please contact Mr. Thomas at the Olym­ lon Polish, Brake Fluid, Antu, Pine Sol, pic Machine Works if you wish further Stanley Baby Lotion, Bleach, Gum, Diel- information. drin, Paint Thinner 2, White King Water Softener, Washing Machine Oil, Corries Slub Bait, Toilet Bowel Deodorant, Toad­ DAMME IE R stools 2, Clorox, Perfume, Turkey, Ammonia Printing Co. fumes, Snarol Slug Bait 2, Warfarin, Para­ dise Purifier, Rodent Poison, Chlor Ridz, BRoadway 2-8303 Commercial Fertilizer, Cigarettes, Arpage 811 Pacific Ave. Tacoma Cologne, Ammonium Sulfate Fertilizer, In­ delible Ink, Nickel, Cellulose, Gladiolus Bulb, Rapid Grow, Lily of the Valley, Bug- PATRONIZE YOUR ADVERTISERS ►o w 3 ^ 0 O l~< O n D w M o > 2 m 58 r H g o G § ►< o 2 ' w z > - o n w r 8? ►< C/3 a n

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ment of Health Alcoholism Program and Dr, Hopkins Returns the Tacoma Committee on Alcoholism. Dr. and Mrs. Lewis Hopkins’ many In May, 1960, all physicians received a friends will be happy to know th at they questionnaire on alcoholism, circulated by are back in town and settled in their Fox the Tacoma Committee on Alcoholism. Island home for the sum mer. Nearly 100 forms were returned. Fifty per cent of those physicians answering were in­ volved in the treatment of alcoholics. Half the questionnaire participants indicated a Alcoholic Workshop need for a workshop. In Wenatchee earlier this year, the first Set For October 19 physician workshop was held in this state. The workshop pertained to the common An Alcoholism Workshop for physicians medical problems in alcoholism, with some is tentatively scheduled for October 19, consideration given to the family, and the 1961. It will be jointly sponsored by the use of community facilities. Pierce County Medical Society Public Health Committee, Chairman Dr. Max Your interest in planning topics for the Thomas, the Tacoma-Pierce County Health Tacoma workshop can be indicated to Drs. Department, the Washington State Depart­ Max Thomas or Charles McGill.

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Cour/asy Medical Society Magazine Group 30 BULLETIN of the Pierce County M edical Society

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MONTHLY MEETINGS STAFF OF DOCTORS HOSPITAL OF TACOMA Second Monday of March, June, Sept., Dec.—7:30 p.m. Auditorium of Medical Arts Bldg. STAFF OF GOOD SAMARITAN Second Monday of March, June, Sept., Dec.—6:30 p.m. STAFF OF NORTHERN PACIFIC Second Monday of each month—noon. STAFF OF ST. JOSEPH'S Third Monday oi March, June, Sept., Dec.—6:15 p.m. STAFF OF MOUNTAIN VIEW GENERAL HOSPITAL Last Monday of February, June, September and November TACOMA ACADEMY OF PSYCHIATRISTS and NEUROLOGISTS First Tuesday of each month—8:30 p.m. Board Room of Pierce County Medical Society PIERCE COUNTY MEDICAL SOCIETY Second Tuesday of the month except June, July & August — 8:15 p.m. STAFF OF TACOMA GENERAL First Tuesday of March, June, Sept., Dec.—S:30 p.m. TACOMA SURGICAL CLUB Third Tuesday of each month—6:30 p.m. at Tacoma Club TACOMA ACADEMY OF INTERNAL MEDICINE Fourth Tuesday of each month— 6 p.m. at Tacoma Club TACOMA ACADEMY OF GENERAL PRACTICE Fourth Monday of each month except June. July & August —6:30 p.m. at Honan's PIERCE COUNTY PEDIATRIC SOCIETY First Friday of each month except June, July and August STAFF OF MEDICAL ARTS HOSPITAL Third Friday of March, June, Sept., Dec.—7:15 a.m. at New Yorker Cafe. STAFF OF MARY BRIDGE CHILDREN'S HOSPITAL Fourth Friday of March, June, Sept., Dec 12:15 p.m. - IHiLLETIN PIERCE COUNTY MEDICAL. SOCIETY

VOL. X X X II— No. 8 TACOMA, WASH. AUGUST - 1961 BULLETIN of the P i e r c e C o u n t y M e d i c a l S o c i e t y Pierce County Medical Society 1961 OFFICERS President ...... C hris C. Reynolds President-Elect ...... Marshall Whitacre Vice-President ...... Robert M. Ferguson Secretarv-Treasurer ...... Arnold J. Herrmann Executive Secretary ______Judy Gordon

TRUSTEES Glenn H. Brokaw Chris C. Reynolds Dale D. Doherty Cyril B. Ritchie Robert M. Ferguson Frederick J. Schwind Iiappy Birthday Arnold J. Herrmann John M. Shaw George S. Kittredge Stanley W. Tuell Robert W. Osborne G. Marshall Whitacre August D E L E G A T E S Douglas P. Buttorff George S. Kittredge Arnold J. Herrmann Stanley W. Tuell 2 JOHN F. STEELE Herman S. Judd Wayne W. Zimmerman

ALTERNATE DELEGATES 5 GLEEN McBRIDE Charles R. Bogue Robert W. Florence Glenn H. Brokaw Glenn G. McBride 6 D A V ID SPA RLIN G Robert M. Ferguson Frederick J. Schwind

COMMITTEES S ROBERT BIAS Ethics C. R. McCOLL Miles Parrott, Chairman I-laskel L. Maier William H. Goering G rievance 13 R IC H A R D V IM O N T Cyril B. Ritchie, Chairman J. W. Bowen, Jr. Herman S. Judd 15 CHARLES P. LARSON Program Robert C. Johnson, Chairman HUGO VAN DOOREN Robert A. O’Connell Buel L. Sever L ibrary S. Robert Lantiere, Chairman IS WALTER CAMERON Edmund Deming Haskel L. Maier II. C. THULINE ^udley W. Houtz John F. Steele Public Health Max S. Thomas, Chairman 19 WILLIAM SULLIVAN Charles McGill George A. Tanbara Public Relations • Robert M. Ferguson, Chairman 20 ERNEST BANFIELD Kenneth E. Gross John M. Shaw Arnold J. Herrmann George A. Tanbara 21 KARL STAATZ Arthur P. Wickstrom House and Attendance ELMER WAHLBERG W'illiam E. Avery, Chairman Eugene Hanson Haskel L. Maier Civil Disaster 22 H. F. KAI-ILER David T. Hellyer, Chairman LEONARD MORLEY Richard B. Link Leo F. Sulkosky John M. Shaw Arthur P. Wickstrom T. R. Haley Charles E. Kemp 23 GERHART DRUCKER D iabetes Edwin J. Fairboum, Chairman FREDERICK PETERS Frank W. Hennings John S. May Entertainment 26 GLENN BROKAW Samuel E. Adams, Chairman L. S. Durkin Robert M. Ferguson STILLMAN HATHAWAY Robert A. Kallsen Geriatrics John F. Comfort, Chairman 28 JOSEPH B. JARVIS William P. Hauser William McPhee EDWIN C. YODER Leonard Morley Legislative Wayne W. Zimmerman, Chairman 29 D UA N E A. COON Douglas P. Buttorff Charles C. Reberger Jolin M. Shaw C. I. STEVENS Medical Education Elmer W. Wahlberg, Chairman 31 SAMUEL E. LIGHT Glenn H. Brokaw Clinton A. Piper Schools HARLAN P. McNUTT R. A. Norton, Chairman Theodore Apa George S. Kittredge Orvis A. Harrelson Jack W. Mandeville George A. Tanbara Traffic and Safety Albert Ehrlich, Chairman Mental Health William H. Todd, Chairman Janif-s W. Boudwin Hugo Van Dooren

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EDITORIALLY SPEAKING

The Nurses Have Spoken. What Nurses?

As the Bulletin goes to press, the hearings on HR 4222, the King Bill will, in all probability, be over. Prof. Wilbur Cohen’s brainchild introduced by Cecil King of California is not different in principle from the Forand Bill and has been condemned by the A.M.A. for much the same reasons. The most compelling reason has not been that it would be “a foot in the door” for socialism, that it would destroy doctor-patient relationships, that it could soon raise the Social Security from its 3? level (adding employee and employer contributions together since the employee ultimately pays this) of 1935 to 20% in the near future and lead to a graduated Social Security payroll tax, or that it would bankrupt the country; but it has been that patient care would be made worse with some of the above factors contributing to the decay. Japan’s gasp of “Get sick at your own risk” is not impossible to anticipate in any country.

It is surprising to many physicians that the American Nurses Association should come forth in support of HR 4222 particularly since many nurses in our own sphere of personal knowledge are strong in their personally formed opinion that the King Bill leads to no good.

What is alarming is the language of the stand which this particular group of nurses is taking. The following is a verbatim copy of the “Legislative Bulletin regarding National Legislation”, June 30, 1961, published by the Washington State Nurses Association with the note “Share this information with a friend, a non-member nurse and others who are interested.”

It is felt that this information should be passed along, but certainly not without comment. The comments are enclosed in brackets so that there will be no confusion as to who said what. BULLETIN of the Pierce County M edical Society 5

SOMEBODY KNOCKING ON It means that we, as nurses, will have to YOUR BACK DOOR? begin to THINK . . . and think hard . . . about what we believe in. Has anyone been talking to you lately about “socialized medicine” . . . “the [In contrast to the statement by the opening wedge” . . . “right to choose WSNA it is apparent that some nurses have been thinking before the WSNA advised your own physician”? Powerful words, powerful phrases . . . because of their them to do so. Some have thought so hard emotional content. Often when von hear that they stand in shock at the attitude of these words, your brain stops functioning the WSNA and some have dropped their and your built-in emotional reactions take membership accordingly.] over. THINK about the day when you’ll be 65, when you retire from your profession, If you haven’t yet been subjected to to try and live on what you’ve managed pressure from members of the American to save or on the amount of social security Medical Association to change your way of you’ve earned. thing about Health Insurance for the Older Citizens under Social Security . . . you [The conception of Social Security as will be. The AMA is mounting a full-scale insurance has been popularized but is as attack on the King Bill, which registered false as the “New America” statement by nurses, members of the ANA, have en­ the Socialist Party says it is.] dorsed in principle. This back-door, grass­ THINK of the day when you may fall ill, roots approach to nurses is in their powerful when a major operation may wipe out your and highly financed scheme to defeat the savings, when the money you’ve earned bill. through social security may not be enough [The phrases “socialized medicine” and to pay your hospital bills. “opening wedge” are not unique to the THINK of the possibility that you might A.M.A. The December 1, 1960, supplement have to sell your home and your possessions to “New America” says, in part, “The For- to pay those bills. and Bill will not be paid for on insurance principles, according to the factors of esti­ THINK of the way you’d feel if, after mated ‘risk’. It will be paid for through the having worked hard all your life, you sud­ tax mechanisms of Social Security—that is, denly find yourself reduced to accepting Americans will pay according to their public assistance in order to get the hos­ means, and receive (within limits) accord­ pitalization you need. ing to their needs. . . . Once the Forancl THINK of paying now, while you're Bill is passed, this nation will be provided working and earning, for the care you need with a mechanism for socialized medicine, at a time when you can no longer work capable of indefinite expansion in every and pay for that care. direction until it includes the entire population.”] ( Continued on Page 6)

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(Continued from Page 6) regulated. This is why we have a physician examining and evaluating each billing sent ANA represents you and will appear before through our welfare office on Broadway. As the House on July 5 when the King Bill is Mr. Forand said, This is but “a foot inside scheduled for debate. the door.”]

But you should be prepared to defend And you, too, have a right to your posi­ your position when and where you want to. tion, a right to defend your way of thought, Just because a doctor says AM A is right a right to remain strong and united. and ANA is wrong does not make it so. [This is very true. It is hoped that nurses [There is real question here whether will make their opinions heard. It is highly nurses are being asked to defend their in­ probable that more nurses think straight dividual positions or the position of the than the ANA realizes.] A.N.A. Admitted there is a close relation­ In 1958, ANA members through their ship between doctors and nurses. There is House of Delegates, passed a resolution also a strong feeling of mutual respect. Why stating that “the American Nurses’ Associa­ is the WSNA implying that this is repug­ tion support the extension and improvement nant? Are they concerned about patient of the contributory social insurance to in­ care or a status battle with their allies?] clude health insurance of beneficiaries of Not all doctors agree with AM As posi­ Old-Age Survivors and Disability Insur­ tion, either. Many doctors are beginning to ance.” This was followed by an even examine their own position under social stronger reaffirmation in 1960. security, for example, as the recent poll The ANA House of Delegates showed conducted among their members showed. concern for the health needs of millions of In the nation, 50 per cent were for com­ pulsory social security for themselves. In ( Continued on Page 10) Washington State, 60 per cent of the doc­ tors queried decided that physicians should be included in the federal Social Security Act. And doctors, as you know, have a far higher level of income than most other pro­ FIRST NATIONAL fessions, including nursing. AUTO LEASE [Figures concerning present “benefits” under the Social Security Act, beg the question of the doctors’ attitude toward COMPANY health care under Social Security. What does a physicians’ comparative income have 624 Broadway to do with patient care?] Doctors have a right to their opinions MArket 7-6171 and have a right to attack when they feel any of their privileges are being threatened SPECIAL LOW RATES ON . . . if in fact they are. MAINTAINED BUSINESS CARS FOR PROFESSIONAL MEN [And indeed they are—Right along with the privileges of the patient.] 1 - 2 - 3 - Year Leases BUT THE KING BILL DOES NOT AFFECT PAYMENT TO DOCTORS. SEDANS - STATION WAGONS [And this is a straight falsehood. A look HARD TOPS - CONVERTIBLES at Colorado’s problems should correct this mistaken impression. The King Bill already THUNDERBIRDS calls for an admission committee for the hospital and any program of care must be BULLETIN of the P i e r c e C o u n t y M e d i c a l S o c i e t y 9 STOWELL'S... Prescriptions

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( Continued from Page 8) Doctors, doctors’ wives and all whom they are able to influence are making a Americans. And they also recognized that great point of writing to their representa­ nurses have small incomes and on retire­ tives and their senators in Washington op­ ment will be faced with the problems of posing this bill. One of their directives to maintaing a decent standard of living and members suggests that it would be particu­ securing and paying for necessary health larly useful if nurses could be persuaded to care. write opposing the King Bill and to sign The nurses who voted for this policy RN after their names. thought long and hard before supporting it. Perhaps it would be particularly appro­ They used their brains first, their emotions priate if you and your nursing friends write second. They heard research reports, dis­ in support of the King Bill for health insur­ cussions and arguments. As nurses, they ance under social security. had seen, too often, what lack of adequate health insurance meant to their patients; [If anyone who has concern for patient had seen, too often, families reduced to care can support the King Bill honestly public assistance through the illnesses and then they should make their voices heard. disabilities that strike in old age. Perhaps . . . So should those who oppose such some of those nurses felt both sorrow and legislation.] indignation at what they had seen and Here are the answers to some of the learned. points raised regarding health insurance [Nurses are not unique in their concern coverage under social security. for the hardships of life. The problem is It provides for hospital, nursing home, whether or not the King Bill removes outpatient diagnostic and home health serv­ these.] ices. Hospital services would be provided As Edward P. Morgan said on his ABC up to 90 days, subject to a deductible paid broadcast, May 23: “Actually, professional by the patient of $10 a day for nine days opposition to the AMA opposition is more or a minimum deduction of $20. Nursing impressive than the public at first may be home services would be provided for, after able to see through the smokescreen of transfer from hospital, for up to 180 days. AMA propaganda. A prestigious swath of Outpatient diagnostic services would be organizations, publications and individuals, subject to a $20 deductible “for each com­ ranging from the 1960 Governors’ Confer- plete diagnostic study”. Home health serv­ ance to Business Week, from Life Magazine ices would be provided up to 240 visits a to Dr. Spock, has endorsed old age medical year. care through the social security system.” [This is for now. As ex-Congressman Mr. Morgan continued: “It may well be Aime Forand said, “If we can only break that it required more devotion and cour­ through and get our foot inside the door, age for the American Nurses’ Association to then we can extend the program after take this stand than for any other group. that.”] . . . The nurses’ official position seems all the more courageous against tire fact that There is general agreement among those AMA at a ‘secret’ strategy meeting in Chi­ responsible for health care that a definite cago earlier this year decided, as one grass problem exists that is not being adequately roots approach in opposition to the Ken­ met by voluntary health insurance plans. nedy program, to pressure local nursing Statistics gathered by the Senate Subcom­ groups to repudiate the stand of their mittee on Problems of the Aged and Aging, association.” show that the number of those 65 years and over has been growing at an increasing rate. [There has been no attempt to pressure In 1900, the total of those 65 years and over anybody. The attempt to encourage people was 3,080,000; by 1940 it was 9,019,000; by to stand up and be counted has been too feeble. 1 ( Continued on Page 12) BULLETIN o f th e P i e r c e C o u n t y M e d i c a l S o c i e t y 11

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(Continued from Page 16) an eccentric, and a chasm of misunder­ standing developed between herself and recorded history. Woman has always been her family. an instinctive nurse, bringing comfort and gladness to her family and friends. Every In the autumn of 1842, Miss Nightingale mother is a nurse to her children, and the was told the Prussian Ambassador in Lon­ midwife (in French, sage-femme—“wise don of Pastor Theodore Fliedner and his woman”) still delivers most of the world's wife, Caroline, who, in 1833, had equipped babies. In a readable book, White Caps: an attractive house near the Rhine River The Story of Nursing (1946), Dr. Victor as a refuge for destitute and sick, dis­ Robinson, who taught history of medicine charged prisoners. This was the beginning and nursing at Temple University for many of the famous Kaiserwerth “Institution for years, described the nurse as, “the mirror in Protestant Deaconesses and Nursing Sis­ which is reflected the position of women ters,” opened in 1836, and comprising a through the ages.” It was appropriate that hospital with 100 beds, a school for poor the ancient Greeks personified health in children, an orphan asylum, and a training Hygieia, an attractive young woman, and school (“Motherhouse”) for nurses. Similar the Romans subsequently adopted her as institutions developed in many cities in Salus, a name recalled by our word “sal­ Europe through the dedicated efforts of ubrious”. this clergyman, his wife, and other mem­ bers of the Lutheran Church. In 1851, Flor­ Florence Nightingale, a remarkable Eng­ ence Nightingale spent three months in lish woman of the past century, built the training at Kaiserwerth, where work was foundations of nursing as a professional hard and life Spartan. career. Before her time the nurse was first Earlier, in 1849, Pastor Fleidner had a servant or slave, then a domestic, then a visited the United States, accompanied by nun who tended the sick for Christ's sake. a colleague, the Rev. William A. Passavant, A paradox in history, the nurse remained and four deaconesses. They established an indispensable but untrained and without infirmary at Pittsburgh, Pennsylvania in social status or professional ethics. St. that year, and went on to expand their Catherine Benincasa of Siena (1347-1380), efforts to other American cities. The Passa­ patroness of nursing and a noble woman in vant Memorial Hospital in Chicago today the annals of medieval nursing, tended honors the name of this missionary and the' plague victims at the Hospital of Santa Lutheran Deaconesses continue their min­ Maria della Scala, still located opposite the istry of nursing at such institutions as the Cathedral of Siena in Italy. She was later Lankenau Hospital in Philadelphia. A Pro­ canonized for her heroic service to God and posal ( No. 44) in the pioneer sanitary re­ man. Like Florence Nightingale centuries port of Massachusetts prepared by a Bos­ later, St. Catherine carried a small lamp ton legislator, Lemuel Shattuck, in 1850, when she visited the hospital at night. described Fliedner's work and mission and Florence Nightingale, creator of modern recommended “that institutions be formed nursing, was named for her birthplace, to educate and qualify females to be nurses Florence, Italy, where her parents were of the sick . . . to make themselves hon­ living when she was born in the year 1820. ored and imminently useful to others.” It She was the older daughter in a home of was this “Shattuck Report” which led to culture and wealth; her family owned two the creation of the first state health depart­ estates in England and were of high social ment in the United States—that of Massa­ standing. A Unitarian in belief, Florence chusetts in f869. The Lemuel Shattuck rejected a frivolous life in “polite society” Hospital in Boston today honors this vision­ and sought service in nursing the sick, after ary American and friend of Pastor Fliedner. a mystical experience which she interpreted Following her experience in Germanv, as a call from God to His service. Seeking Miss Nightingale worked in Paris with the to work as a nurse at Salisbury Hospital, this English lady was regarded by many as (Continued on Page 2.1 ) BULLETIN o f the Pierce County M edical Society 27 WOMAN’S AUXILIARY %• VUe Pierce- Medical £ociet

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I f any of these considerations reflects your thinking, we believe you will be interested to learn that a truly effective and reasonably priced topical steroid now is available for your patients with dermatologie disorders... D il o d e r m ™ Cream (brand of dichlorisone a c e ta te ). /Is to effectiveness, here is what a recent re­ I f port- stated on the use of D il o d e r m in 53 cases of poison ivy dermatitis: “A satisfac­ tory response...was seen in all cases. There concern about were no cases of primary irritation or other side effects ” As a matter of fact. ..you will find not only effectiveness or th a t D il o d e r m Cream is exceptionally bene­ ficial in a wide variety of dermatoses respon­ sive to topical steroids, but also that it costs high cost has less in most instances than generic hydro­ cortisone creams. In addition, D il o d e r m a f ­ fords even greater savings over other topical steroids. A ctually, the 15 Gm. tube of kept you from D il o d e r m Cream costs less than virtually all all other topical steroid preparations now ■prescribed. prescribing A s a matter o f econom y. .. the 15 Gm. tube of D il o d e r m is ideally suited for the treatment of large skin areas or extensive lesions. It any topical covers more w ith less waste; it provides three times as much medication for only slightly more than double the cost of a small 5 Gm. steroid... tube of unbranded hydrocortisone.

We believe your patients with dermatoses will appreciate the significant savings THESE FACTS D il o d er m Cream affords, and that you, loo, will agree... D il o d e r m in the 15 Gm. tube is effective, economical in price, and even more economical in use. M AY CHANGE Also available: Diloderm Cream, 6 Gm. tube; Nro- Bilodebm® Crenm 0.25' . ! . 5 a n d 15 Gm. tulws ; Diloderm and Neo-Dilodehm Foam, 10 Gm. dispensers; DlUttiEMM and Neo-Diloderm Aerosols, 50 Gm. conuintjrs. YOUR MIND •Gant,'J. Q., Jr.: ftl. / I m t . District o / Columbia 36:2G7, 1961.

For complete details, consult latent Scherina literature n vaihihln from your Schering Rcpreaentutlve or Medical Services Department, Seheriny Corporation, Bluumjivtd, iV r« > Jvrttvif. MU BULLETIN of the P i e r c e C o u n t y M e d i c a l S o c i e t y 11

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Tacoma, Washington

Ideal location for specialization . . .

The more than 80 physicians and surgeons practicing in the Medical Arts Building provide a great opportunity for referred work to the specialist locating here. You’ll find everything from a fully equipped hospital to a medical supply house. And people know they can depend on finding the best in mcdical care because only those with highest ethical standards are accepted as tenants.

Medical Arts Building

Building Office: 110 Medical Arts Bldg.

MArket 7-6441 METROPOLITAN BUILDING CORP., MGRS. BULLETIN of the Pierce County M edicai. Society 18

(Continued from Page 16) exceptional hardship cases. Authori­ zation by SF 5873 must be trans­ his administrative responsibilities shall: (1) Prepare and submit to the director mitted to the State Office for ap­ proval with adequate justification. rules, regulations and procedures for the It should be pointed out that ap­ exercise and performance of the administra­ tive powers and duties vested in or im­ proval will be subjcct to the strict­ posed upon him not inconsistent with the est limitations. “3. Drugs law.” Such rules and regulations have the force Screening Physicians are instructed to carefully scrutinize all requests of law when appropriately processed and approved by the Director of the Depart­ for non-lormulary drugs and authori­ ment of Public Assistance. zation should be granted only when Submitted herewith are two documents they are actually life-saving or abso­ as exhibits. These are examples of govern­ lutely essential in the patient's care. ment regulations which, in our experience, “4. Appliances The provision of appliances is dis­ definitely result in the lowering of the continued. Appliances will be pro­ quality of medical care. The exhibits are: Ex'hibit 1: Memorandum No. M-9-61, vided only in exceptional hardship issued May 10, 1961. Subject: Curtailment cases. Authorization by SF 5873 will of Medical Care Expenditures Effective be transmitted to the State Office with adequate justification. Again, May 15, 1961. [Note: Most pertinent to this should be pointed out, the ap­ the subject is one paragraph of Section I. proval will be subject to the strictest Because of space limitations, the other 26 limitations. pages of rules and regulations are omitted. “5. Hospitalization —Ed.] Screening Physicians shall place spe­ “The Department is required by law to cial emphasis on hospital screening. remain within its appropriation. An in­ Unnecessary care will be denied. creased caseload with heavy utilization this Chronic care shall be subject to past winter has resulted in a possible de­ strictest limitation and every effort ficiency this biennium. In addition, the will be made to reduce the length legislative appropriation of a lesser amount of long-stay hospital cases. A con­ than anticipated indicates that strict con­ stant review of all hospital cases trol of medical expenditures will be re­ should be accomplished by the quired for the 1961-63 biennium. There­ Screening Physician and every ef­ fore, the following will become effective fort should be made to confine hos­ May 15, 1961. pital care to the limitations of the “1. Elective Surgery hospital budget. In general, no elective surgery shall “6. Medical Care Provided for Recip­ be authorized on persons over the ients of Non-Continuing Assitance age of 65. All requests for elective Costs of providing care for persons surgery must be submitted by SF on Non-Continuing Assistance are 5873 to the State Office, accom­ increasing monthly. The Screening panied by adequate justification pre­ Physician is requested to adhere pared either by the attending physi­ strictly to the rules and regulations cian or the Screening Physician. In that have been promulgated to con­ no instance will elective surgery be trol the cost of care provided for approved retroactively. this category of assistance. “2. Glasses “In instituting the above list of controls, The glasses budget is discontinued. Glasses will be provided only in ( Continued on Page 21) BULLETIN of the Pierce County M edical Society 27 WOMAN’S AUXILIARY <7&rJbe Pi&ice. Med^xdMociety Auxiliary does not meet in September, as your new handbook then. Send your check State Auxiliary holds its annual meeting for ten dollars to Elvina Brokaw, the new then. The traditional fall tea, which has dues chairman. evolved into the more adaptable coffee Fall Fashion Show hour, will launch Auxiliary's active year The date for the Fashion Show has been in October. set for October 26 at the Top of the Ocean. Members anticipate another successful Andrews will provide the show this year. year for Auxiliary and a lot of fun with Since this earlier date doesn’t allow for the new President Keaty Gross in charge. Well organization of ticket sales after our first qualified for this position of importance, meeting, the ticket committee will go to Keaty has long been active and influential work in September. Reservations will be in community affairs inside and outside of made for purchased tickets only, and Auxiliary. A friendly out-going patrician tickets will not be refundable after the Irish lady with a wonderful sense of humor date of the coffee party. This should elim­ and an ample stock of good sense, Keaty is inate the last-minute hassel that has always a firm believer in those prescriptive quali­ plagued the Fashion Show committee, and ties of duty and honor, pursues the right will guarantee a full house for the party. always, hence is held in high regard by More Announcements From the Board everyone who knows her. She definitely en­ Marion Doherty is in charge of the col­ joys hard work for a good cause, and lection of clean clothes in good repair for assumes the heavy responsibilities of this the use of patients being discharged from office cheerfully. The only noticeable defect Western State Hospital. Skirts and blouses about Keaty is that she’s more than a little in misses sizes are especially needed. nutty over skiing. The Fashion Show may Nothing in sizes smaller than children's be heavy on ski-wear, and during the Sea­ six. The clothing should be brought to the son board meetings may be scheduled at October coffee hour, but can be delivered White Pass, and we may all be doing exer­ directly to Marion if that is more cises at January meeting. convenient. Board Luncheon Dorothy Grenley announced that Mar­ About thirty Board members met on garet Reberger is in charge of collecting August 15 at Edith Lawrence’s home lor vitamins and drug samples for the girls luncheon, and the annual summer meeting at Faith Home. to formulate Auxiliary’s plans for this year. Lorna Burt, Civil Defense chairman, an­ Among the several announcements from nounced that Mrs. William Gadsby from this meeting was the reminder that we Seattle, who entertained at last April’s members voted for a raise in dues last year, luncheon, will come to Tacoma to conduct and we may now pay $10.00 for our lar­ an all-dav worshop on Survival one dav gesse. Eight dollars are dues, and the next month. This should be of interest to hostess fee is two dollars, minimal for four the many members who are becoming in­ luncheons and three coffee parties. The creasingly aware of the troubled world dues aren’t exactly minimal, but you must situation. For more particulars, and to sign pay or your name and number won’t be in up for the workshop, call Lorna. the handbook the year following, a little Board members at the annual luncheon something that has inconvenienced several lound Edith Lawrence’s patio an ideal set­ staunch Auxiliary supporters this last year. ting for the discussion of Auxiliary busi­ If your dues are paid on or before the date ness, and everyone was much impressed bv of the October coffee party you will receive Edith’s garden, and especially the neat play BULLETIN of the Pierce County M edical Society 3

basic in exchange

basic in cold control CORICIDIN tablets

fo r m u la

chlorpheniramine m aleate ...... 2 m g. a s p ir in ...... 0 .2 3 G m . p h e n a c e tin ...... 0 .1 6 G m . c a f f e in e ...... 3 0 m g.

4000 • SCHERING CORPORATION • BLOOMFIELD, N. I. BULLETIN of the P i e r c e C o u n t y M e d i c a l S o c i e t y 11

Tacoma’s ONLY Class "A” Medical Building

The Medical Arts Building located in the heart of Tacoma— where it should be— provides all the needs of the medical profession . . . a modem hospital, fully equipped laboratories, prescription pharmacy, optical store, fine auditorium, new restaurant, medical supply house, Pierce County Medical Society office and library . . . PLUS more than 500 parking spaces within a half block of the building. Your inquiry is invited.

Medical Arts Building Building Office: 110 Medical Arts Bldg. MArket 7-6441 METROPOLITAN BUILDING CORP., MGRS.

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Tacoma, Washington BULLETIN of the Fierce County M edical Society 19

(Continued from Page 16) Seattle, Roddy Rosenbladt at the U., Bar­ bara and Betsey McBride at the U., Lael this coming year. Dorothy will head the Harris at Oregon, Ned Fairbourn in his last Finance committee, and Ruth will be Pro­ year at Pomona, Jane Fairbourn at the U., gram chairman. As Ruth says, “By Program School of Nursing, Carmella Lantiere and we mean the work program and not the Sue Huff at Washington State, Kay Matt­ entertainment.” Both of these jobs are big son at Washington and Jim Jr., in his third ones, and our Pierce county talent will be a year at the U., Mary and Bill Rademaker at real asset at State level. the U., Roger Nace and George Teats at Our local representatives there for all or U.P.S. part of the sessions were Nadeen Kennedy, Bob Brooke, Jr., is studying electronics Bev Harrelson, Keaty Gross, Hazel Whit­ at Boston at Sam's expense. He is in the acre, Ruth Brooke, Dorothy Maier, Dottie Naval Reserve program and will crew the Reid, Doris Kunz, Delores Havlina, Betty U.S.’s first missile-launching ship, die U.S.S. Johnson, Katherine Humiston, Hilda Lan- Robinson, when it is completed. The Rob­ tiere, Ruth Murphy and Helen Florence. inson's first assignment on the traditional Joan on Tour world cruise will be Century 21 in Seatde. Emma and John Bonica returned from a Here’s one winning team we are really visit to Bogota and Caracas just in time to backing this season. The whole team is Joan send Angela off to Dominican College in Anderson, who ordinarily turns out for San Rafael, where she will study Music something very chic, and has this month and French. Micheal Larkin is back at launched a Conquer Uterine Cancer cam­ Gonzaga for his second year of Pre-Med. paign. She’ll tour all year, and just between Now with two married and one away at October 4 and the middle of November school, Charlotte only has seven children Joan has seven dates to lecture and show at home. films to Women’s Clubs all over the county on the importance of the Pap smear. The Sad Story of the Month American Federation of Women’s Clubs George and Helen Kittredge took a week worked this out with the Cancer Society as in San Francisco as sort of a last fling before a national program, to indoctrinate each school started. Having an elegant time at member of any Club belonging to the the St. Francis, Helen had the works at the American Federation with the facts per­ hotel beaut)7 salon one morning, had her taining to uterine cancer. Not only will hair bent and face done, felt younger than Joan’s influence on this important topic be springtime as she tripped out. Tripped she taken quite seriously by hundreds of did, took a flyer into the elevator and spent women in the area, but as fringe benefit that evening in the hospital. With her frac­ Auxiliary wins by having this sociable, in­ tured arm and dislocated shoulder in a telligent and suave emissary out in front. sling, Helen is trying to be pleasant about Joan’s presentation will be assisted by local M.D.’s arranged through Dorothy Gren- ( Continued on Page 21) ley’s speaker’s bureau, to answer questions from the audience. It just might happen that, in order to be well turned-out you’ll have to have your Pap smear, ladies. BEALL’S Higher Education Fond memories of college days are due The Prescription Store : for a jolt. Suddenly these Auxiliary chil­ dren are growing up and it’s back to the 124 Meridian South ivy-covered walls, only this time you’re mailing the boxes of goodies. On the re­ PUYALLUP ceiving end are Doug Willard, sophomore at Dartmouth, Hugh Judd in his first year Phone Puyallup 5-8444 at Stanford, two Rigos boys at the U. in BULLETIN of the P i e r c e C o u n t y M e d i c a l S o c i e t y 2 7 man of the local Committee responsible for American Diabetes arrangements. Association The Wednesday. January 17, morning The American Diabetes Asociation today- session will be devoted to “Fundamental Considerations” and will close with a ques­ released the program for the Tenth Post­ graduate Course Diabetes in Review: Clin­ tion and answer period. Wednesday after­ ical Conference, 1962. The Course will be noon's lectures on “Pathogenesis" will con­ clude with a panel discussion on “Diabetes held January 17, 18 and 19 in Detroit and Ann Arbor, Michigan. The sessions of the and Prediabetes— Pathogenesis and Pre­ first and third days (Wednesday and Fri­ vention.” day, January 17 and 19) will be at The The Thursday sesisons at Ann Arbor will Statler Hilton in Detroit, which will serve offer a half-day each on “Insulin Assay— as headquarters. The second day's lectures Antagonism and Acidosis” and “Related (Thursday, January 18) are scheduled at Metabolic Problems.” the University of Michigan, Ann Arbor. On Fridav morning, January 19. the main The Committee on Professional Educa­ topic, “Treatment of Diabetes Mellitus. tion of the American Diabetes Association, will also include two panel discussions: chairmaned by T. S. Danowski, M.D., of “Problems in Management of Brittle Dia­ Pittsburgh, is responsible for the Course, betes” and “Pregnancy and Diabetes.” They which is offered in cooperation with the will be followed by a luncheon address, University of Michigan Medical School, “Myocardial Metabolism in Diabetes,” by Wayne State University College of Medi­ Richard J. Bing, M.D., Chairman of the cine, Wayne County Medical Society and Department of Medicine. Wayne State Uni­ the Michigan Diabetes Association. Dr. versity College ol Medicine. Danowski is Director of the Course, and The final afternoon of the Course will Frank S. Perkin, M.D., of Detroit, is Chair­ cover “Complications of Diabetes Mellitus”

OCULAR

Ophthalmic OH Suspension 1% • Ophthalmic Ointment 1% Ophthalm ic Ointment 1% with Hydrocortisone 1.5% Ophthalm ic Powder (Sterilized 25 mg., with sodium chloride 62.5 mg., and sodium borate 25 mg.) ACHROMYCIN Tetracycline lederle

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LEDERLE LABORATORIES, a Division of AMERICAN CYANAMID COMPANY, Pearl River, New York (fj without steroids this arthritic miner might still be spoon-fed

on METICORTEN, he has worked steadily for six years with no serious side effects

J. G.’s rheumatoid arthritis started in 1949 with severe and unremitting pain in his shoulders. Later, his wrists, elbows, feet and hands became involved with swelling and loss of function. By 1951, when he was 45, the patient was helpless and had to be fed and dressed by his wife. He was frequently hospitalized during the next three years. Hydrocortisone failed to make any change in his condition.

1 On April 2, 1955, the patient was placed on M e t i c o r t e n and im­ proved promptly. Two weeks later he stated, “I feel very well now.” He was able to go badk to work as a mine electri­ cian that year and had no difficulty driving a car.

For the past six years, he has been maintained on

M e t i c o r t e n 5 mg. two or three times a day. There have been no side effects. The patient has not lost any work time, nor has he had to limit his activities in any way.

Case history courtesy of Joel Goldman, M.D., Johnstown, Pa. These photographs o f Dr. Goldman's patient were taken on November 10,1960.

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^hereas They ^ a j Nature’s Own ... s - i ? a : c : s a fiS ?

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; : !: ^ ^ c a l laboratories ops- - '■ ’-“ qualified persons is not p0v Milk, plus Medosweet's process of flavor blending, the - -- '.’.iih ou t the p atron age of the medi- proper wedding of Guernsey, Jersey, Holstein milk, to - p.'otesson: and create the most perfectly balanced, natural health nutrient. '' zmx. T he m edical profession gen- i j ' hjv always placed the common Medosweet c itove self’ interest and has adhered r-tca l and moral principles; there- : : e be it :i. That the American Medical Tacoma, Washington ; > jo ;i-n o n h ereb y declares that tie :c e r con d u ct o f laboratory analyses is " t d i d professional responsibity ail specimens for such analysis -aid be referred to laboratories super- [v :ullv qualified and licensl Everything under one roof...

Tacoma’s Medical Arts Building provides all Xeiv Editor. the needs of the medical profession under one roof . . . a modem hospital, fully equipped laboratories, prescription pharmacy, optical store, fine auditorium, new restaurant, medical supply house, Pierce County Mcdical :Z ..T since October Society office and library . . . PLUS research and put ^ more than 500 parking spaces within a half block of the building. We invite your inquiry.

,;:rnanon. .0 0 .t Medical Arts Building -Pv Pr 1 am tofP- ne£d to Building Office: 110 Medical Arts Bldg. -!!»•*’525* MArket 7-6441 METROPOLITAN BUILDING CORP., MGRS.

c s w s t . U * ‘p- ftesi«e” BULLETIN of the Pierce County M edical Society 19

(Continued from Page 16) funniest story we’ve ever read is true, according to Gloria Virak. She and her and will use these funds to support can­ husband lived with the riotous Montana didates with our best interests at heart. tribes of Stay Away Joe, and Gloria says Lorraine wants us all to avail ourselves the book wasn’t at all exaggerated. They of the current literature on the Kerr- were also with the Zuni tribes in New Mills bill and the King-Anderson bill, Mexico on their three-vear tour with communicate with our congressmen, the Public Health Services. Audrey Hori and allow lay friends and neighbors the is studying Japanese conversation at same advantages as far as keeping in­ U.P.S. two nights a week, not just to formed. The theme of this year’s auxili­ flex her mental processes, but in order ary aim lends well to Lorraine’s theme to converse with her husband’s parents. at membership meeting . . . we can It was a pleasure to meet these out­ be politic, and we definitely should be standing young women and we hope inform ed. the entire membership soon has the opportunity to know them. New Members

Bulletin met seven of the new mem­ Faith Home bers at President Keaty Gross’ house last Dorothy Grenley tells us Faith Home month at the informal welcome coffee plans to open this month. Quite illus­ staged by membership chairman Pat trative of Auxiliary's slogan “Speak your Hoover and the executive board. This belief in deeds”, this important com­ was a little jewel of a party, not only munity project has been accomplished because of Keaty’s usual Gross hospi­ by a small dedicated group unwilling to tality, but because we always look for­ even consider defeat in the face of finan­ ward with interest to meeting the new cial odds. As Dorothy puts it, “We’ve members, and these comprise one of gone ahead and remodeled on faith, and the most interesting crops personality- we’ll open with a full house and a wait­ wise. ing list.” This home for unwed mothers Beverly Graham ,whose husband has has moral support to spare, all they lack taken over Orv Harrelson’s practice, is are the matching funds. from California, but she doesn’t knock As a member of the Board of Trus­ the climate here since her husband is tees of Faith Home, Dorothy has been from Aberdeen and Tacoma is like the responsible for setting up the medical Riviera. Judy Brachvogel and Dorothy services program for the home. Working Truckey are both from Seattle. Doro­ with the Medical Society, Dorothy con­ thy says they’ve folded their tents about structed the framework for the volun­ every three years and she’s anxious to teer medical services under the direc­ make Tacoma her permanent home. tion of Doctor Myron Bass. Anesthesi­ Laine Lindstrom is a very personable ology will be available at a big discount new member who belies her All-Ameri- for the patients of the home, and dental can type beauty by introducing herself care has been offered by the Dental as an Estonian by birth, just recently Society. Shaw Supply has generously from Sweden. Loretta Kase and her hus­ offered to completely furnish the exam­ band have been on the staff of the City ining room at the home. Our thanks go of Hope. Loretta worked as a nurse in to Dorothv for her tireless efforts on the pediatric leukemia wards there, and behalf of this worthwhile project, its has a most intriguing story to tell of that compassionate experience. The ( Continued on Page 21) BULLETIN o f the Pierce County M edical Society 27 condition will not permit. Prof. Allison The Esophageal Hiatus from Oxford University, known for his Hernia and Its monumental work on the anatomy and physiology of the diaphragm and the Significance hiatus, pointed out four factors which rule on the competence of the cardia. B y L e o A n n e s t , M .D . These are (1) the circular muscle of Although much change has occurred the esophagus, (2) angulation by which in the management of esophageal hiatus the esophagus becomes stomach, (3) hernia it remains a controversial sub­ the diaphragmatic crus and (4) the im­ ject. The entity is considered to be con­ portant inter-relationship of the first genital, however its natural history is three factors to each other. In regard to one of progression in the majority of competence, these are the very words cases and is more frequently encount­ that he stated at the 1961 session of ered in older age groups when the ten­ the Ogden surgical meeting, quote, “I acity and tone of the diaphragmatic leave you to make your own deductions muscles has decreased remarkably with as to how these fit in with the scheme age. When symptomatic it stimulates of things and produce competence. I several other intra-abdominal and some have 16 facts to put before you. The first intra-thoracic diseases. It has appropri­ fact on the anatomical side, I have ately been designated as the masquer­ already mentioned is that the angle ader of the upper abdomen. When asso­ between the esophagus and the stomach ciated with cholecystic disease and di­ is snugly filled by the right crus of the ver ticulosis of the colon, it is known as diaphragm. One effect obviously of this Saints Triad as described by Muller in is that as the domes of the diaphragm 1948. Removal of the gall bladder in descend during respiration, if the cardia these cases may result in only slight stayed where it was, the angle between relief of symptoms. When subsequent the esophagus and stomach would ob­ hiatus hernia repair is accomplished, viously open out. The simultaneous con­ marked relief of symptoms is obtained. traction of the crus insures that the Saints Triad with removal of the gall cardia descends at the same as the bladder only may account for some of domes and that the angle is maintained the cases which have been diagnosed as The second fact is that we know from post cholecystectomy syndrome in the maesurements that there is a zone of past and actually are due to a sympto­ high pressure in the esophagus about 2 matic unrepaired hiatus hernia. centimeters long at this level. The third is that we know that relaxation and re- Many hiatal hernias are asympto­ matic after varying degrees of medical ■' management, the most important of which is weight reduction in the obese. However, Blades reported 45 % m assive BEALL’S 1 G.I. hemorrhage from 66 cases of esoph­ ageal hiatus hernias which were other­ : The Prescription Store wise asymptomatic. There are many authorities who believe that every hi­ atus hernia should be reapired. Harring­ 124 Meridian South ton, whose basic work with hiatal her­ PUYALLUP nia, is widely known, stated that all symptomatic hiatus hernias should be Phone Puyallup 5-8444 treated surgically unless the patient’s the choice--by acclamation! for ringworm therapy In the less than 2 years since griseofulvin —first orally cll'ecl'ive antifungal antibiotic —was introduced, over 250 leading investigators have published over 150 clinical reports and reviews in 20 countries concerning results in over 4,500 patients with dermatomycoses. Almost all of the patients benefited from griseofulvin.

2:10, 1959. (2) Andrews, G. C.; Domonkos, A. N.. and Silva, A., Jr.: J.A.M.A. 173:1542, I960. (3) Arnold, H. L„ Jr.: Straub Clin. Proc. 25:53 103, G. K., and LaTouchu, C. J.: Bril. M. J. 2:1141, lQ59: (5 ^ a a ^ ^ ^ ^ ^ M |ronsin M. J. 53:421, 13G0. (6) HaruHinl, A.: Fnrmaco {Ed. St . S. Armed Forces M. J. 11:1001, 10G0, (0) 1-J59. (9) B(;himnn, H, T.; Lubov,'i\ I. I.; Mane I960. (10) Bellsarlo. F. C., anJ Child, 100:131, 19G0. (12) Eerrj Dcrmat. 61:982, 1900. (13) Blrt, m.jriK, and Roth, F. Jr.: A. , J. G., Jr.; Roth, F. A,cl> D

Hi :f

lari lslrfl s M.l i Pilot! *,A. A Trespa^ It. M. j \ B. S .: A .m ( i M. Circle^^ and Lofferer^ : B u ll. Si i, H. M., Jr., e t T BO. 19G0. (124) 5) Robinson, R.^ R. L .: J. Inv- Canada 15:53,19? ct al.: La n c e t 1:1 d, B.: J. Invest. Derma’S is M. So c. G1:279, 1 ■St. O erm at. 34:295, 19S(J! ') Sidl, E., and Spinasse, ectlcut Med. 24:360, 1960. (7 il.: Current Thiirop. Res. 1:1, Maddln, S. W.: Canad. M .AJ. 8iH 131. & Vonercol. S3:14£ steopath. A. 59:370, 1960. (142) VanbTt r ’Am. P od iat. A. 50:297, 19GO. mbla 28:423, 1959. (145) Welsh, A. L., an d l Brit. M. J. 2:1329. 19G9. (M7) Williams, S, D. I.: Practitioner 184:333, 1960. (149) WIHiarr Lancet 2:1212, 1958. (150) Wilson, J V: : M. Clin.. N 23:14, 1960. (152) Wrong, N. M.: Canad. M.A.J. i ):656, 1959. (153) Wrong, N. M., and Rogers, S.: A.M.A. A'ch. D-r-.^t 01:7 7 . 13=0. (IM S.! Canad. M .AJ. 81sl67, 1959. {155) Yontef, R.: J. M. Soc. New Jersey 5S:738, 1959. (156) Ztnzlus, J.: Deutsches rnc J. J. 11:121, I960. BULLETIN of the P i e r c e C o u n t y M e d i c a l S o c i e t y 11

A PRESTIGE LOCATION . . .

The Medical Arts Building—Tacoma’s o n ly Class “A” medical building— provides everything from the fully equipped hospital and laboratories to a medical supply house. People know they can depend on finding the best in medical care here because only those with highest ethical standards are accepted as tenants. Your inquiry is invited . . .

Medical Arts Building Building Office: 110 Medical Arts Bldg. MArket 7-6441 METROPOLITAN BUILDING CORP., MGRS.

Milk, plus Medosweet's process of flavor blending, the proper wedding of Guernsey, Jersey, Holstein milk, to create the most perfectly balanced, natural health nutrient. Medosweet

Foods

Tacoma, Washington BULLETIN of the Pierce County M edical Society 19 (Continued from Page 16) ATTENTION!!! “dumping syndrome” was produced in Anyone interested in entering the dogs by the intrajejunal instillation ol rackets, please continue reading! If hyperosmolar glucose solutions. The enough of you are interested, it is pro­ peripheral circulatory and gastrointes­ posed that we start with a small racket tinal effects of this response can be transferred to other dogs by intravenous (table tennis). A Challenge Cup will be competed infusion of portal vein plasma. This for by different groups— Tacoma Acad­ humoral agent, the authors postulate, emy of Internal Medicine, Tacoma Sur­ might be serotonin and its effect is gical Club, American Academy of Gen­ blocked by serotonin antagonists (Aide- eral Practice, House Staff of Ml. View met, periactin). These same serotonin General Hospital, Tacoma Academy of antagonists help ameliorate symptoms Psychiatrists and Neurologists, Pierce in patients with severe “dumping”. County Pediatric Society, and the left­ The University of Oregon group (Dr. overs (all those not included in any of Dunphy et al) showed some interesting the groups). work with the common duct. The im­ To start it out, a one game short-stop portance of motility of the common duct table tennis tournament will be held has long been a problem and an attempt the night of the Tacoma General Hos­ to evaluate this was made by wrapping pital staff meeting, December 5, 1961, Teflon around the duct to produce im­ starting at 5:30 p.m.—interrupted by mobility. Although these preparations dinner and the meeting. It will be fin­ stayed open and were able to drain ished that night in both singles and properly, there uniformly occurred dila­ doubles (designate your partners). tion of ducts above the area, mild Three tables will be available, if needed; changes in the liver possibly in the bring paddles and balls, if possible. direction of biliary cirrhosis, impair­ To help defray the cost of the Per­ ment of liver function (some elevation petual Challenge Cup, a donation of of alkaline phosphatase), increased GB one dollar will be gratefully accepted— pressures, etc. All cases showed some payable immediately to anyone listed abnormality of function. It is postulated below. that grafts of the common bile duct fail The initial possessor of the cup will because of interference with some type be based on the number of wins and of neuromuscular mechanism, and it is losses for each group. Help your group suggested that successful anastomosis by showing up and participating. and transplants must avoid rigidity. The Racket Squad L o u is P. H o y e r , J r ., M.D. Marsh Whitacre _ BR 2-6533 Residence SI< 9-0700 Bob Johnson ___ FU 3-1303 Residence SK 2-8652 Bud Banfield ... ______FU 3-1641 Residence SK 2-2869 10 12 HOUR HUNGER CONTROL WITH George Tanbara ______FU 3-5 7 7 7 NO R EP O R T ED C O N T R A IN D IC A T IO N S Residence BR 2-5235 James Boudwin ____ FU 3 -2413 TENUATE DOSPAN Residence JU 8-7848 Dale Doherty (Left Over).._.BR 2-1661 Residence JU 8-4548 BULLETIN o f the Pierce County M edical Society 2 7 HOSPITALS. . . St. Joseph’s News From The Annex A new supervisor has been appointed Tacoma General to the Annex, Mrs. M. Craton. R.N. She Miss Helen Maddex was recently comes to us from third floor. We wish to named to the position of Administrative extend our congratulations and best Assistant being in charge of the business wishes to her in her new job. We also wish to express our appreciation to Sis­ office and still maintaining her work ter Helene, our former supervisor and with the public relations department. wish her success in her new position. Miss Maddex had become a familiar We are happy to announce that Miss figure in the hospital community due to her work in organizing an auxiliary at Coleen Reis, who recently left us, was married on Saturday, November 18. the hospital. She has considerable ex­ perience in hospital business circles hav­ Congratulations. Mrs. Linda Fareberger, R.N., also left ing served in San Francisco and Kansas us for the wide open spaces of North City in business manager positions. Four members of the hospital staff Dakota. Guess she did not like all the attended the annual Washington State Tacoma rain. Hospital Association convention in Mrs. Cleveland, whom many of you Yakima which was held on October 26 knew and worked with, died of cancer and 27. Those attending were Miss Sally on November 10. We were all very sorry Mount, Medical Records Librarian; Miss to have lost such a wonderful person as Mrs. Cleveland and we wish to ex­ Helen Maddex; Mr. Hugh Owens and press our deepest sympathy to her Mr. W. L. Huber. The principal speakers at the convention were Mr. Frank S. fam ily. Groner of Memphis, Tennessee, who is There are quite a few new faces a past president of the American Hos­ among the Annex staff, although some pital Association, and Dr. Leon Lewis, of them are not completely new. Mrs. author of several articles on hospitals. Reed, R.N., the former Miss Garrison Mr. Groner spoke about the hospitals and Mrs. Homestead, R.N., the former of the future and what we might expect Miss Hardy will be working relief on from hospitals in the years "to come. the 3-11 and 11-7 shift. Dr. Lewisgave his ten rituals about hos­ Mrs. M. Miller, R.N.. a graduate of pitalization which he had expounded in T.G. will be our regular 3-11 nurse. several articles including the one en­ Mrs. Due, L.P.N., is back with us titled 'The Hazards of Hospitals.” now. Some of you may remember her better in the blue student practicles The flowers which have been located uniform . in the front of the hospital are going to Glad to have vou all with us. be transferred to the area behind the We also have some new orderlies, the hospital. This is made necessary because most recent to join the ranks is Mr. Tom the addition of the front wing will use Bull. The others are Mr. Ed Creach, Mr. the area where the flowers were form­ Ed Baines, and Mr. Ed Smith. It can erly located. Although the hospital may get quite confusing with all the “Eds” not win the first prize for its flower around. gardens in the future, we shall have a Two of our staff members are cele­ small garden in the rear. brating their birthdays this month, Mrs. On Thursday, November 16, the X-ray C. Bellamy and Mr. Jim Birge. We wish unit was at the hospital to obtain chest you many happy returns of the day. X-rays of 140 employees. The X-ray One last word, some time in the early mobile unit was located in the doctors’ part of December, the Annex will be parking lot from 7 a.m. to 4 p.m. having a sale. Here is a good chance to Also on that same date, the new pick up some Christmas gifts and help Safety Committee met for the first time support the Annex O T Department. to review objectives for the coming year. Special guests at the meeting were Maintenance Department the Director of Nursing Service and the Executive Housekeeper from the Good The five Hall on second floor is Samaritan Hospital in Puyallup. finally completed, all new terrazzo

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( Continued from page 12) contributions are on the way up even with­ out a medical program. If the program goes Socialized medicine means that doctors through, as Jack Steele reported on Meet work as employees of the government or the Press (Feb. 18, 1961), “A great many that hospitals are owned and operated by people will be paying more Social Security the government. No such system is here taxes than they pay income taxes.” He said proposed. The bill provides that, when an “taxes” and not “insurance premiums.” ] attending physician decides that the insur­ ed individual should be hospitalized, the [It is hoped that doctors will take a few physician would make the necessary ar­ minutes to talk to their own nurses and rangements with the hospital as he does their nurses in the hospitals to help now. The only change in relationship strengthen the nurses’ individual positions. would be that the hospital would be guar­ It is not easy for a nurse to be publicly vocal anteed payment for the insured services. in an opinion contrary to the state and national groups which hold themselves out [The hospitals might appreciate this sup­ to speak for all nurses unless she knows port at first. But then the government that the concern felt by doctors for the would, after all, be responsible to see that patient is just as real as hers. hospital costs were “reasonable.” Someone has to supervise this.] [The ANA implication that what is bad for the doctor is good for the patient is as The bill provides for a specific prohibi­ phony as Arthur Schlesinger’s comment on tion against any supervision or control over January 31 that the welfare state is the best the details of administration or operation defense against communism. of any hospital or over the selection, tenure or compensation of its personnel. [Oddly enough, the WSNA Bulletin was printed on pink paper.] [This is an unrealistic provision which would, of necessity, be changed. After all, the Federal government is not interested in No Gripes? irresponsibly dumping funds down rat- holes, even though, at times, it may appear The editor has been troubled by the to do just that.] evidence, namely, no letters to the editor in the mailbag since the A.M.T. became The full cost can be paid during early disturbed by the unkind attention it re­ years by an increase in the total payroll tax ceived, that nobody has been provoked to rate of about one-half of one per cent. The write a few words of protest, complaint or tax base would be raised from $4S00 to condemnation. The editor again invites a $6000. For a person earning $100 a week, few comments and repeats that the Bulle­ tliis would mean an increase in his contri­ tin is for the whole Medical Society. It is bution of 25 cents a week and a similar in­ not a soap-box for a single editor. crease from the employer. The cost of Furthermore, if any members have a administering the plan would be less than medical, para-medical, economic or politi­ the administrative costs under existing cal opinion which pertains to medicine and private insurance plans. Administrative which should appear in these pages, his or facilities already exist for administering it. her contribution of copy is urged. No new' agencies would have to be estab­ — Ed. lished. The bill would help to reduce relief costs to the federal, state and local govern­ ments and to private charities. It would cut into public assistance costs. DAMMEIER [This Bill will do no such tiling. How Printing Co. can a Federal program do more economic­ BRoadway 2-8303 ally what the states and our own Bureaus are already doing? Obviously, as in every­ 811 Pacific Ave. Tacoma thing else, it can’t. Already Social Security BULLETIN of the P ie r c e C o u n t y M e d ic a l S o c ie t y 15

for infants allergic to cow’s milk a modern milk substitute rich and creamy in color, pleasant and bland in taste

Sobee has the rich, creamy appearance that mothers expect of a formula. Sobee is pleasantly bland, with­ out the “burned-bean” flavor or chalky aftertaste frequently associated with a soya formula.

Symptomatic Relief. Symptoms of cow’s milk allergy —most frequently manifested by eczema, colic and gastrointestinal disturbances—may be relieved within 2 or 3 days. Good Stool Pattern. In a study of 102 infants on Sobee, the number of stools ranged from 1 to 4 per day.1 Soya stools are bulkier than cow’s milk stools. Constipation is infrequent.

Easily Prepared. Mothers need add only water to either Sobee liquid or Sobee instant powder to pre­ pare a formula with a nutritional balance comparable to cow’s milk formulas. 1. Kane, S.: Am. Pract. & Digest Treat.

Milk-free soya formula 1 6 BULLETIN of the Piebce County M edical Society The Light Within Us* In Memoriam F r ed B. R o g e r s, M.D. ( “Read at Hospital and Nursing Week Service, Church of the Holy Trinity, Ritten- J o s e p h P. K a n e , M.D. house Square, May 7, 1961 and reprinted from the Bulletin of the Tarrant County Died in Palo Alto, Calif, June, 1961, Medical Society of July, 1961.) at the age of 86. During its Fifth Annual Hospital and Joseph Kane was a successful physician. Nursing Week, opened by a traditional serv­ Because his professional life did not ice of worship, Philadelphia pauses to con­ sider man’s humility to man— a noble chap­ conform to the usually accepted present ter of civilization in which women play a day measurements of success we may un­ leading role. The nursing profession, in consciously lose sight of the real contri­ particular, blends humane and scientific butions of this man. traditions of helpful service. Professional nursing, now a century old, has as its Why he wanted to become a doctor we ultimate goal what Dr. Albert Schweitzer never knew, hut there was a compelling has called “devotion of self to others.” ambition which guided him through years Selections from the writings of this medical of patient study and difficult financial missionary, whose wife trained as a nurse while lie studied medicine preliminary to struggles. He came up, as we say, “the their work in Africa, recently appeared in hard way” and this is probably the reason an anthology, “The Light Within Us” why through his years of medical practice (1959). This small volume, published first his help and sympathies were always for in German as Vom Licht in uns, provides the less fortunate, whether doing general my theme for a review of nursing, its practice in Tacoma or among the Indians achievements and ideals. In our cynical age, ideals still enrich personal, family, and in Arizona. community life. Such idealism has moti­ The difficult task of being both father vated much that is best in the history of and mother to a family of young children nursing and allied fields. was given to him and the useful lives of In her daily work die nurse, like the phy­ these two sons and five daughters are elo­ sician, meets all sorts and conditions of peo­ quent testimony of the valued guidance he ple. The nurse’s cap of cloth and starch is gave them through those years. In the an honored symbol—both an emblem of years to follow, their large contributions the school which it identifies and a crown to the welfare of our country are the high of service in all parts of the world. Society measure of Dr. Kane’s successful life. expects much from the nurse—dedication Those whose privilege it was to have and dependability, skill and sympathy. The more than a passing acquaintance with nurse is able to contribute fine qualities of him will always remember Iris simple phil­ heart and mind in human health and hap­ osophy, his kindly judgments, and the piness. Florence Nightingale and others of twinkle of his bright eyes, with him to high rank in the past gave much of them­ the end. selves and, in turn, much was given to them. Our recognition of merit is multi­ Joseph Kane was a valued friend of plied manyfold in your careers by personal many, and in his retiring, unselfish life satisfaction and public appreciation. he was a true credit to our profession. The beginnings of nursing are lost in —L e w is A. H o p k in s , M.D. antiquity for the nurse was present before

( Continued on Page 19) BULLETIN o f th e Pierce County M edical Society 1 7

in bacterial tracheobronchitis Panalba* promptly to gain precious therapeutic hours In the presence of bacterial infection, taking a culture to determine bacterial identity and sensitivity is desirable — but not always practical. A rational clinical alterna­ tive is to launch therapy at once with Panalba, the anti­ biotic that regardless of etiol­ ogy provides the best odds for success. Panalba is effective (in vitro) against 30 common pathogens, including the ubiq­ uitous staph. Use of Panalba from the outset (even pend­ ing laboratory results) can gain precious hours of effec­ tive antibiotic treatment. SUPPLIED: Capsules, each containing Panmycin* Phosphate (tetracycline phos­ phate complex), equivalent to 250 mu. Letraeycline hydrochloride, anil 125 1115 . Albamycin,* as novobiocin sodium, in bottles of 1C and JOO. USUAL ADULT DOSAGE: 1 or 2 cap* sules 3 or •! times a day. Side Effects: Panmycin Phosphate has a very low order of toxicity comparable to that of the other tetracyclines and is well tolerated clinically. Side reactions to therapeutic use in patients are infre­ quent and consist principally of mild nausea and abdominal cramps. Albamycin also has a relatively low order of toxicity. In a certain few pa­ tients, a yellow pigment has been found in the plasma. This pigment, appar­ ently a metabolic by-product of the drug. Is not necessarily associated with abnormal liver function tests or liver enlargement. Urticaria and maculnpapular dermatitis, a few cases of leukopenia and agranulo­ cytosis have been reported in patients treated with Albamycin. Most of these side effects usually disappear upon dis­ continuance of the drug. CAUTION: Since the use of any anti­ biotic may result in overgrowth of non* susceptible organisms, constant obser* vation of the patient Is essential. If new infections appear during therapy, appro­ priate measures should be taken. Total and differential blood counts should be made routinely during pro­ longed administration of Albamycin. The possibility of liver damage should be considered if a yellow pigment, a metabolic by-product of Albamycin, ap­ pears in the plasma. Pnnolhn should be discontinued if allergic reactions that are not readily controlled by antihlsta* minlc agents develop. • Trademark, Reg. U. S. Pat. Off. your broad-spectrum antibiotic of first resort | 75thyear\ 18 BULLETIN of the Piebce County M edical Society

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We dispense only the finest of Pharmaceuticals & Biologicals. BULLETIN o f the P i e r c e C o u n t y M e d ic a l S o c ie t y 21 (Continued from Page 19) soldiers there fell from 42% to 2%. This was the result of systematic daily care plus Sisters of St. Vincent de Paul, a Roman nightly rounds, soap, water, clean linen and Catholic Order which had been introduced humane treatment. The small band of into France in the seventeenth century. (A women introduced a proper nursing serv­ tablet in the entrance of the Philadelphia ice to the British Army and become her­ General Hospital today records the heroic oines to the nation. When they returned service of these devoted Sisters of Charity home in 1S56, a tremendous welcome was to the poor victims of cholera in the citv accorded diem in London. By national sub­ during the epidemic of 1832.) scription a Nightingale Fund of £.44,000 At age thirty-three, Miss Nightingale be­ was collected, which was used to establish came superintendent of the “Establishment a training school for nurses. for Gentlewomen during Illness" in Lon­ In June 1S60, after much careful plan­ don, serving during 1853-54 in this position. ning, the first fifteen probationers were ad­ In the summer of 1854 a severe epidemic mitted for one year’s training to the Night­ of cholera swept London and she was called ingale School at St. Thomas’ Hospital in to superintend the care of patients at the London. At the completion of one year Middlesex Hospital. In those terrible days these women joined the hospital staff lor a she gained experience which was to serve further two years’ experience. By the inno­ her well in the Crimean War. On the vation of a prescribed period of training battlefield of war Florence Nightingale, the and a graded curriculum nursing became Nurse, became Florence Nightingale, the a respected profession, an independent Reformer. In October, 1854, the Secretary career for women whose position was of War, Baron Sidney Herbert, asked her recognized. Nightingale nurses were soon to recruit nurses for a mission of mercy to in great demand. Many hospitals in Great the British soldiers in an unprepared war Britain and elsewhere asked Miss Night­ against Russia. She selected twenty-four ingale for trainees from her school to join nuns from religious orders and fourteen their staff so that they might organize train­ secular (non-ecclesiastical) nurses to serve ing schools and improve the standard of with her in an inferno of filth and horror nursing. at the Turkish barracks hospital of Scutari in the Crimea. These dedicated women In the Nightingale system the control of made that miserable place Scutari, a shrine the nurses was vested in a matron, or direc­ in human history. This opportunity demon­ tor, who must herself be a trained nurse. strated the value of trained nurses. The Florence Nightingale’s book, Notes on efforts of these thirty-nine courageous Nursing, first published in 1859 and re­ women—in nursing, housing, sanitation and printed many times, is still worth reading. statistics— greatly relieved suffering and Miss Nightingale combined gentleness and death. Within a few months of their arrival tact with crusading zeal. She could be firm at Scutari, the mortality rate among the and resolute, as many bureaucrats found out, when pushing for reforms. A woman with common sense, a talent for organiza­ tion, and abundant human kindness, she focused her energies on the basic care of BEALL’S patients. The nurse’s uniform was devised by her for the Nightingale School, incorpor­ The Prescription Store ! ating the cap, apron, sleeves and stockings of a fashionable lady in Victorian England. Vestiges of this original uniform still grace 124 Meridian South the student nurse’s attire. PUYALLUP In 1862, Florence Nightingale aided in Phone Puyallup 5-8444 the establishment of the first District Nurs- ( Continued on page 23) 22 B U L L E T I N of the Pierce County M edical Society

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(Continued from page 21) of quality to this day. There are now 42 schools of nursing, professional and prac­ ing Association in Liverpool. England. tical. in the five-countv metropolitan Phil­ From this early enterprise came the school, industrial, visiting and public health nurses adelphia area, graduating some 1500 nurses of today. In this country, the first District each year. Nursing Associations were organized in The annals of nursing history are rich in Boston and Philadelphia in 1SS6. humanity': heroines, known and unknown, Trained nurses became more essential inspire us by their deeds and idealism: Clara Barton, schoolteacher, leader of the with tire introduction of antiseptic and aseptic procedures in surgery and the pro­ “angels of mercy" who performed nursing fession gained more self confidence and services during the Civil War, first presi­ dent of the American Red Cross; Dorothea skill. Though much has changed in hospital Lynde DL\. long a crusader for humane and nursing practice with the passing of one hundred years, the helpful spirit of the care of the men tally-ill and a Civil War nurse; Edith Cavell, humanitarian-martyr eavlv trained nurses continues to inspire. Florence Nightingale lived to become the of the First World War; the heroic nurses greatest figure in the history of nursing; on Corregidor in World War Two: Gene­ she died at the age of ninety in the year vieve de Galard, “the Angel of Dien Bien Phu" in 1954. These are your forebears 1910. Her unique position in nursing his­ and colleagues—serving throughout the tory and tiie strength of her personality are reflected in much writing about her. A world, in times of peace and war, with play The Lady with a Lamp, by Reginald benevolent concern for human welfare. Berkeley (1929) is a fine dramatic tribute. To conclude these remarks, words from She has rightfully been called the greatest The Light Within Us, by Dr. Schweitzer, English woman— the patron saint of trained are appropriate: nurses—one who created nursing as an art, a vocation, and a career. The power of ideals is incalculable. We see no power in a drop of water. But let it From women across fire sea, the torch of get into a crack in the rock and be turned organized nursing soon came to America. to ice. and it splits the rock: turned into In 1839 a Nurses' Society of Philadelphia steam, it drives the pistons of the most was formed, composed largely of Quaker powerful engines. Something has happened ladies, under the direction of Dr. Joseph which makes active and effective the power Warrington (1S05-8S) of the Philadelphia that is latent in it. . . . No ray of sunlight Dispensary staff. Practical instruction was is ever lost, but the green which it wakes given in bedside, home and maternity into existence needs time to sprout, and it nursing at the "Nurses Home/ and the is not always granted to the sower to live students were supervised by a “lady visi­ and see the harvest. . . . tor.” A certificate was presented to the “pupil nurses” who completed this short We live, spiritually, but what others have course. By 1850, this voluntary Society had given us. . . . Much that has become out employed more than fifty nurses to care for own in gentleness, modesty, kindness, the sick-poor, particularly in childbirth at veracity, loyalty, we owe to people in home. A decade later, in 1861. a profes­ whom we have seen or experienced these sional group, the Nursing School of virtues at work, sometimes in a great mat­ Woman’s Hospital, Preston and Parrish Sts., ter, sometimes in a small. A thought which was organized and continues active to this had become act sprang into us like a spark day. The Pennsylvania Hospital School fol­ and lighted a flame within us. . . . We lowed in 1883, and the Philadelphia Gen­ have each of us cause to think with deep eral Hospital School one year later. Miss gratitude of those who have lighted such Alice Fisher, a graduate of St. Thomas' flames within us. . . . The final decision Hospital in London, headed the “BlocMey as to what the future of a society shall be School” for many years. The double-frill on depends . . . on the degrees of worthiness the cap of a PGH graduate is a hallmark in its individual members. 24 BULLETIN of the Fierce County M edical Society

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Usual adult dosage: One tablet 2 to 4 times daily. Full prescription Information on request. Supplied: Bottles of 100 light blue, scored tablets. Prescription only. References: 1. Santos, I. M. H., and Unger, L.: Ann. Allergy 18:172 (Feb.) 1960. 2. Charlton, J. D.: Ann. Al* lergy, In press. 3. Shaftel, H. E.: Clin. Med. 7:1841 (Sept.) 1960.

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Dealers for— HAMILTON OFFICE EQUIPMENT LIEBEL-FLARSHEIM DIATHERMY AND ELECTROSURGICAL EQUIPMENT C. R. BARD UROLOGICAL INSTRUMENTS BURDICK PHYSIO-THERAPY EQUIPMENT CAMBRIDGE ELECTROCARDIOGRAPHS WILMOT CASTLE STERILIZERS AND LIGHTS SKLAR, HASLAM AND LAWTON SURGICAL INSTRUMENTS 28 BULLETIN o f th e Pierce County M edical Society hardly imagine how such a complicated Boat of the Month . . . enterprise as taking these crippled children Stan Durkin’s new Cat is definitely not on a tour through the woods, and trout the kind you’re allergic to. This lovely sleek fishing too, could possibly be accomplished. white things purrs musically and behaves. There must have been many near-crises. When he says “Go cat, go,” it really goes. “Men are wonderful with these children,” We took off like a rocket one July after­ Marge Cameron says, “and especially these noon, went speeding along the beach so men of the outdoors. The forresters made fast the Burton population hardly had time the program possible, by their intense in­ to come out of their hogans to see who was terest in making each tour worthwhile for hollering, “Hey, look at this!” before we each child. The soldiers were indispensible had gone on around the point. Like magni­ on the tours for the blind children. We just ficent Toady’s dream, this is the fastest went along to cook lunch.” thing on the water. The Durkins find the While Marge went along to cook lunch, new Cat has broadened their travelling 262 crippled children and 49 blind children horizons considerably, at 50 miles an hour toured the Griggs' farm, which is actually they see a lot of Puget Sound . . . and a sort of forest preserve, set up to demon­ having a few minutes, they can dine at Gig strate conservation methods. The tours will Harbor if the menu at home palls. Stan continue this next year with added features. says he’s a little disappointed it doesn’t go Smokey the Bear visited the children while faster. As far as we’re concerned, the Cat they ate lunch in the lodge on this year’s broke the sound barrier that day, when trips, maybe next year Casper Coyote will everyone on the beach heard us go by after come in to say hello too. Marge has plenty we had gone. of ideas. We were so impressed by this pro­ gram’s educational value for any child we asked Marge if it would be possible to arrange tours for other children, possibly HOSPITALS. . . through the city schools. This brought the tycoon gleam to her eyes and she said that Tacoma General sounded like a very good idea, and we sus­ Vincent Armatis has recently joined the pect she had probably been working on X-Ray Department as head technician. He that idea for some time already. comes to us from Fitzsimmons Army Hos­ pital in Denver. He has served a total of C aterpillar s Song 21 years in the Army Medical Corps. Mr. Armatis replaces Mrs. Louise Cameron who Betty May and Wibby Bischoff have ac­ returned to her native Canada. cepted Junior League invitations and will The hospital employees’ picnic which be in this fall’s provisional class. Caterpillar was originally scheduled for July 6 has always singes merrily on these occasions— been postponed to July 27. The weather­ “Some may say the Ladies’ League man forecasted on the day previous to the Is dominated by intrigue picnic that it would rain on the 6th, but he But when the annual list is read was wrong. Nevertheless, the picnic com­ We all know that’s just stew-ped mittee felt it better to postpone the date And anyone may get the call until later in the month. Who measures over four feet tall.” New residents in the Pathology Depart­ Caterpillar is a character of Adele Dur­ ment are Drs. Renedo, Wood, and Apa. kin’s creation, inflicted upon us by Bianca They replace Dr. Nordmo, who completed Mattson’s energetic productivity, and his residency at T.G., Dr. Strunk, who was downstaged by Peg Haley as the Cheshire called by the research bug to continue Cat in probably the most clever and apt training at the University of Washington, amatuer theatrical we’ve ever msised see­ and Dr. Ukawa, who returns to Japan to ing. We anticipate the day when some complete his residency in surgery. other funny thing will spark Adele’s tal­ New residents in Anesthesia Department ented imagination. are Drs. Maier, Poh, Star, Flynn, and Baird. -BULLETIN o f th e Pierce County M edical Society 2 9

New students in the School of Medical picnic held at Lake Geneva on July 13. Technology are Anne Keith, Linda Moore, This is something that is looked forward to Judy Johnson, Jacqueline Cook, and Glenda every year. Gee. A new student in Histologic Technic For the last month the Record Room has is Jean McCrimmon. These students are been located “around the corner,” while we all from the University of Puget Sound and wait for a completely new record room are spending the fourth year of their train­ widi new' terrazzo floors, files, drapes, desks, ing with us. lights and telephones. We should be back in the “new” record room by the end of the month. St. Joseph's Vacation time has rolled around again and we in the record room are taking full We would like to extend a sincere wel­ advantage of it with our various vacations. come to our new- interns Thomas Hinrichs, Dee Sparkes will fly by jet to Hawaii for a University of Nebraska; Norma Santos, 15 day stay and Ruth Delle will be leaving Manila Central University, Philippines, and for Colorado Springs for two weeks. We Yasuo Kanda, Mie Prefectural University, wish them a happy vacation lounging in School of Medicine, Tokyo, Japan. Also a the sun while we are hard at work here in sincere welcome to our clinical clerks, here this hot room wilting away. Also a happy for the summer, from the University of vacation to Mrs. Thyra Arness who is fish­ Mississippi James Day, Jay Pennington, and ing and swimming at a nearby lake. We Douglas Cain and from the University of hope she catches a big one— fish, that is. Washington Marvin Bourne. Mrs. Olga Maki is just going to stay home We have three Maryknoll seminarians this year. with us learning some of the basic funda­ mentals of medical care such as giving The Sisters have spent their vacations at shots, taking blood pressure, learning some the beach and already are back with beau­ of the various diseases that are common in tiful tans and revived spirits to settle down the foreign countries diat they will be serv­ to another year of hard work. ing in, and so forth. These future priests, The month of July has been filled with Fred Zierten, John Hudert, and Donald summer activities. On July 13 Lake Geneva Doherty, will put these experiences into buzzed with activity of all sorts, swimming, practice in the various Maryknoll missions sports and dancing filled the hours as the to which tiiev will be assigned throughout Doctors, their families and the members ol the world. the stall at St. Joseph enjoyed their annual Mrs. Riedinger’s brother, Father Zahn, picnic. stopped to see her and those he knew at The student nurses of St. Joseph Hospital the hospital. Father spent the last six years School of Nursing entertained the faculty as a missioner in Japan. and student body of Tacoma General Hos­ The Sisters, Doctors, Nurses, and all at pital School of Nursing at a barbecue lawn the hospital wish to thank Doctor J ames for party on July 11. the wonderful time had by all at the annual The evening was spent renewing old acquaintances and exchanging tales of nurs­ ing experiences of the students. Second floor South is not being used this summer as all the rooms from 214 to 222 are being remodeled with new terrazzo 10-12 HOUR HUNGER CONTROL WITH floors, beds, furnishings, etc. Even though NO REPORTED CONTRAINDICATIONS the noise is something we can do without, the finished product will be worth all the inconveniences. TENUATE* DOSPAN* Have you noticed the files in the hall and all the carpenters hammering around the switchboard? Well take a closer look. That BULLETIN of the Fierce County M edical Society

switchboard is new! Take it from Mrs. Nish Ellwood, Jr., M.D., Medical Director, Eli­ everyone is real pleased with it. zabeth Kenny Institute; Frederic J. Kottke, Lucille Boyle and Aose Tovoli, from the M.D. Director, University of Minnesota Business office, have “gone east” for their Rehabilitation Center; Frank H. Krusen, vacation. They will be staying in Philadel­ M.D., Director of the Elizabeth Kenny phia, and plan to take in New York before Institute. driving home. Participating faculty from the University If you have noticed any new faces grop­ of Washington School of Medicine include ing bewilderingly through the halls, Drs. Richard I. Birchfield, Bernard Bucove, chances are they are the three new x-ray W. E. Fordyce, Justus Lehmann, Donal R. students who joined us last June 19. Miss Sparkman, Walter C. Stolov; James A. Car- Scott and Miss Baxter are from Franklin rell, Ph.D., George D. Brunner, Bertha L. Pierce and Miss Baumgartner from Saint Doremus, and Geraldine Shevlin. Leo’s are in the process of being oriented Registration is unlimited. The course is on the “S.O.P.” of x-ray. After a week of open to graduates of medical schools ap­ observing the second year students at work, proved by the Council on Medical Educa­ they began developing films and will grad­ tion and Hospitals of the American Medi­ ually work up to actual taking of x-rays. In cal Association or those licensed to prac­ September they will begin classes which in­ tice medicine and surgery in the state of clude nursing procedures, anatomy and Washington. There is no tuition fee. A total physiology, terminology and x-ray funda­ of 9 hours credit will be given members of mentals. the Academy of General Practice who at­ Two years of hard work, midnight study­ tend. Registration information is available ing and call duty should see these ambi­ at the Heart Association, BR 2-7854. tious young girls taking their registry ex­ aminations. Let’s wish them all the luck in the world. Classified Advertising FOR SALE BY OWNERS REAL CHOICE HOOD CANAL WATERFRONT Rehabilitation of OR BACK LOTS—located on a beautiful point, fine pea gravel beach; private com­ Stroke Syndromes munity launching rami:); dock with float; A postgraduate course in Rehabilitation private lodge and shop. SELECT YOUR LOT NOW AT WINTER PRICES WITH AL­ of Stroke Syndromes for physicians will be MOST ANY TERMS. . . . CALL OR conducted at the University of Washing­ WRITE Dr. C. Russell Perkins, Office, SK ton School of Medicine October 6 and 7. 2-4228; Home, SK 2-8123; 2613 No. 21st, Tacoma, Washington. Sponsors are the School of Medicine, Washington State Medical Association, MEDICAL SPACE AVAILABLE Washington State Heart Association and TACOMA NORTH END New Medical-Dental Bldg.; completely equipped; Washington State Department of Health. on arterial street; in well populated residen­ The course presents information, con­ tial area; oif-street parking. Large reception cepts and demonstrations concerning medi­ office with business office adjoining (2) pri­ vate offices - six treatment rooms, laboratory, cal management and rehabilitation of (2) rest rooms, wide hallway. stroke patients. The material to be pre­ For information, building plan, call or write sented is designed to assist the physician in Mr. Robt. Goldberg, 4320 N. 27th, Tacoma, W n„ days FU 3-3484 — eve. SK 9-7035. his practice in managing stroke patients, in working with the family and community to MEDICAL SPACES FOR RENT IN assist in maximum rehabilitation and in LAKEW OOD FURNISHED OR UNFURNISHED making the most effective use of referral to DOCTOR, do you want a completely furnished comprehensive rehabilitation facilities. Lakewood Office with ample parking? Guest faculty for the course includes Two brand-new medical suites are now avail­ able in new Lakewood Professional Village Robert L. Bennett, M.D., Executive Direc­ building, suitable for part-time, full-time, tor, Georgia Warm Springs Foundation; single or shared occupancy. Located between Albert L. Cooper, M.D., Director of Physi­ new Lakewood Hospital and Villa Plaza Shop- ing Center. Contact: Mitch Gasparovich, 3660 cal Medicine, Swedish Hospital; Paul M. Tahoma Place, Tacoma 66. Phone SK 2-2033. BULLETIN o f th e Fierce County M edical Society 31 Auxiliary President The convention delegates also voted gifts of $10,000 each to the American Medical Calls For More Research Foundation and AMA’s newly- organized scholarship and honors program Community Service and 81,000 to aid an AMA effort to pul Today’s Health magazine in high schools. Physicians’ wives must accept the com­ munity’s challenge for knowledge and hon­ AMEF awards of merit were presented est effort in helping to solve local problems. to the Auxiliaries to the following state In taking office as the president of the medical societies: Ohio, Texas, California, Woman’s Auxiliary to the American Medi­ Indiana, New York, Nevada, Tennessee. cal Association, Mrs. Harlan English, Dan­ Alaska, New Hampshire and Alabama. The ville, 111., called on members across the national Auxiliary also received a merit country to develop strong local public serv­ award. ice programs built on community needs. Highlights of the convention: A number of community projects that Dr. E. Vincent Askey, then AMA presi­ local doctors’ wives can take on voluntarily dent, urged physicians’ wives to help re­ were cited by Mrs. English. They include: cruit qualified young people into medical homemaker service programs; practical pro­ careers. grams to help meet nutritional and recrea­ Mrs. Neil W. Woodward, Auxiliary civil tional needs of older persons; civil defense defense chairman, discussed the importance educational programs; mental health activ­ of preparing for family survival in the ities especially dealing with alcoholism; event of disaster. programs for safety, poison control and water safety; fund-raising for medical Dr. George E. Gardner, professor of psy­ education. chiatry at Harvard Medical School and member of AMA’s Council on Mental Mrs. English succeeds Mrs. William Mac- Health, warned that among other things kersie, Detroit, Mich. The new president­ teen-age anxiety over college admisison is elect is Mrs. William G. Thuss, Birming­ becoming a mental health problem in this ham, Alabama. country. Other Auxiliary officers installed at the Business sessions were devoted to state 38th annual Convention in New York and national sports, discussions and include: Mrs. Paul E. Rauschenbach, Pater­ speeches by medical leaders and AMA staff son, N.J., first vice president; regional vice- personnel. presidents — Mrs. Harry F. Pohlmann, Middletown, N.Y., eastern; Mrs. C. Rodney Registration for the four-day meeting Stoltz, Watertown, S.D., north central; Mrs. totalled 1,194. W. W. Hubbard, Nashville, Tenn., south­ ern; Mrs. Stanley R. Truman, Oakland, Calif., western; Mrs. William H. Evans, A bit stumped by the case at hand the Youngstown, Ohio, constitutional secretary; doctor told the young lady, "You’ve either Mrs. C. R. Pearson, Baraboo, Wise., got a cold or you’re pregnant.” treasurer. “I must be pregnant,” decided the pa­ A check totalling $195,264.22 was pre­ tient. “I don’t know anybody who could sented to the American Medical Education have given me a cold.’’ Foundation by the Auxiliary at a luncheon honoring national past president. For the second time, the “Ethel Gastineau Tro­ One way to keep your teen age daughter phy” was awarded to the Woman’s Auxili­ out of hot water is to put dirty dishes in it. ary to the Tennessee State Medical Asso­ ciation for outstanding service in behalf of the AMEF. PATRONIZE YOUR ADVERTISERS Pierce County Medical Society BULK RATE Medical Arts Building U. S. POSTAGE Tacoma 2, Washington PAID TACOMA, WASH. PERMIT No. 300

MONTHLY MEETINGS STAFF OF DOCTORS HOSPITAL OF TACOMA Second Monday of March, June, Sept., Dec.—7:30 p.m. Auditorium of Medical Arts Bldg. STAFF OF GOOD SAMARITAN Second Monday of March, June, Sept., Dec.—6:30 p.m. STAFF OF NORTHERN PACIFIC Second Monday of each month—noon. STAFF OF ST. JOSEPH'S Third Monday oi March, June, Sept., Dec.—6:15 p.m. STAFF OF MOUNTAIN VIEW GENERAL FO^ITAL Last Monday of February, June, September and November TACOMA ACADEMY OF PSYCHIATRISTS and NEUROLOGISTS First Tuesday of each month-—8:30 p.m. Board Room of Pierce County Medical Society PIERCE COUNTY MEDICAL SOCIETY Second Tuesday of the month except June, July & August — 8:15 p.m. STAFF OF TACOMA GENERAL First Tuesday of March, June, Sept., Dec.—5:30 p.m. TACOMA SURGICAL CLUB Third Tuesday of each month—6:30 p.m. at Tacoma Club TACOMA ACADEMY OF INTERNAL MEDICINE Fourth Tuesday of each month—6 p.m. at Tacoma Club TACOMA ACADEMY OF GENERAL PRACTICE Fourth Monday of each month except June. July & August —6:30 p.m. at Honan's PIERCE COUNTY PEDIATRIC SOCIETY First Friday of each month except June, July and August ,’JTAFF OF MEDICAL ARTS HOSPITAL Third Friday of March, June, Sept., Dec.—7:15 a.m. at New Yorker Cafe. STAFF OF MARY BRIDGE CHILDREN'S HOSPITAL Fourth Friday of March, June, Sept., Dec.— 12:15 p.m. IlliLLETIN. PIERCE COUNTY MEDICAL SOCIETY 2 ______BULLETIN of the P i e r c e C o u n t y M e d ic a l So c ie t y Pierce County Medical Society

19 6 1 OFFICERS P re sid e n t------Chris C. Reynolds President-Elect ...... _..G. Marshall Whitacre p i p Vice-President ...... Robert M. Ferguson Hap-py birth - day to you, Secretary-Treasurer...... Arnold J. Herrmann Executive Secretary...... Judy Gordon

TRUSTEES Glenn H. Brokaw Chris C. Reynolds Dale D. Doherty Cyril B. Ritchie Robert M. Ferguson Frederick J. Schwind September Birthdays Arnold J. Herrmann John M. Shaw George S. Kittredge Stanley \V. Tuell Robert W. Osborne G. Marshall Whitacre HAPPY BIRTHDAY! D E L E G A T E S Douglas P. Buttorff George S. Kittredge Arnold J. Herrmann Stanley W. Tuell 4 MYRA VOZENILEK Herman S. Judd Wayne W. Zimmerman

ALTERNATE DELEGATES Charles R. Bogue Robert W. Florence 6 JO H N MAY Glenn H. Brokaw Glenn G. McBride Robert M. Ferguson Frederick J. Schwind

COMMITTEES 5 JAMES DUFFY Ethics Miles Parrott, Chairman Haskel L. Maier William H. Goering 10 MAX THOMAS Grievance Cyril B. Ritchie, Chairman J. W. Bowen, Jr. Herman S. Judd 11 C H A R LES B O G U E Program Robert C. Johnson, Chairman MARION LARSEN Robert A. O'Connell Buel L. Sever L ibrary GORDON PARROTT S, Robert Lantiere, Chairman Edmund Deming Haskel L. Maier DANIEL THOMAS tudley W. Houtz John F. Steele Public Health LEON THOMAS Max S. Thomas, Chairman Charles McGill George A. Tanbara Public Relations 12 MYRON BASS Robert M. Ferguson, Chairman Kenneth E. Gross John M. Shaw Arnold J. Herrmann George A. Tanbara Arthur P. Wickstrom 13 ELDON BL1ZARD House and Attendance William E. Avery, Chairman Eugene Hanson Haskel L. Maier Civil Disaster 16 FRAN K H EN N IN G S David T. Hellyer, Chairman Richard B. Link Leo F. Sulkosky John M. Shaw Arthur P. Wickstrom T. R. Haley Charles E. Kemp 19 CYRIL LUNDVICK D iabetes Edwin J. Fairboum, Chairman Frank W. Hennings John S. May 22 J. W. BOWEN, JR. Entertainment Samuel E. Adams, Chairman L. S. Durkin Robert M. Ferguson Robert A. Kallsen 23 THOMAS SKRINAR Geriatrics John F. Comfort, Chairman William P. Hauser William McPhee 24 WALTER SOBBA Leonard Morley Legislative Wayne W. Zimmerman, Chairman Douglas P. Buttorff Charles C. Reberger 26 CARL EKMAN John M. Shaw Medical Education Elmer W. Wahlberg, Chairman Glenn H. Brokaw Clinton A. Piper 27 ARNOLD JOHANSSON Schools R. A. Norton, Chairman Theodore Apa George S. Kittredge 30 S. ST E FA N TH O RD A RSO N Orvis A. Harrelson Jack W. Mandevflle George A. Tanbara Traffic and Safety Albert Ekrlich, Chairman Mental Health William H. Todd, Chairman Jiu n e s W. Boudwin Hugo Van Dooren

Bulletin Staff Editor Charles C. Reberger Business Manager ------Judy Gordon PATRONIZE YOUR ADVERTISERS Auxiliary News Editur ....______Mrs. Robert A. Kallsen 4 BULLETIN of the Pierce County M edical Society

REGULAR MEETING

PIERCE COUNTY MEDICAL SOCIETY

Tuesday, September 12

MEETING . . . 8:15 P.M.

MEDICAL ARTS BUILDING AUDITORIUM

* o # *•

PROGRAM

Discussion by W.S.M.A. Delegates of Problems

and Resolutions to be Considered

at the State Meeting

A no-host social hour and dinner will precede the meeting Social Hour: 6:00 Dinner: 6:45 Place: Honan’s Restaurant 739Vz St. Helens Ave. BULLETIN o f th e Pierce County M edical Society 5 September Calendar of Meetings

MONDAY TUESDAY WEDNESDAYTHURSDAY FRIDAY

1

Pierce County Pediatric Society'

4 5 6 7 8 Staff of Tacoma General Hospital LABOR 6:30 p.m.

DAY Tacoma Acad, of Psych. & Neurol. 8:30 p.m.

11 12 13 14 15 Staff of Doctors Hosp.— 7:30 p.m. PIERCE Staff of Medical Staff of N. P. COUNTY Arts Hospital Hospital— Xoon MEDICAL 7:15 a.m. Staff of Good SOCIETY Saamritan Hosp. S:15 P.M. 6:30 p.m. 18 19 20 21 22

Staff of St. Joseph's Tacoma Surgical P.C.M.B. Board Hospital Club— 6:30 p.m. 8:00 p.m. 6:15 p.m.

25 26 27 28 29 Staff of Mt. View General Hospital Tacoma Academy Staff of M. Bridge of Internal Children’s Tacoma Academy Medicine Hospital of General Practicc 6:00 p.m. 6:30 p.m.

EVERY DROP PURE HEAT "G lasses as your eye STANDARD physician prescribes them" y Q r Heating Oils Contact Lenses — Artificial Eyes

Call MA. 7-3171 Columbian Optical Co. Fuel Oil Service Co. Ground Floor, Medical Arts Bldg. 816 A St., Tacoma Medical Center Mark Dolliver Jack Galbraith Western Clinic Bldg. 6 B U L L E T I N of the Fiehce County M edical Society EDITORIALLY SPEAKING

The Para-Medical Racket “It is necessary, at times, to identify a marrow cell by the

company it keeps.” — E d w in O sgood, M.D.

Occasionally a wise student who is interested in pursuing a paramedical specialty will consult with a doctor about his or her choice of schools. It is a regrettable fact, that over the nation, doctors are unfamiliar with the quality and means of inspection of their A.M.A. approved schools and the nature of many trade, commercial, and occupational schools which offer courses of training which, at best, have difficulty in arranging transfer of credits with recognized colleges and universities and, at worst, are conniving diploma mills. In the February, 1961, Bulletin there was a plea for doctors to refuse to associate themselves with a single group, the American Medical Technologists Inc., by denying the A.M.T. use of the Medical Society offices for meetings on the grounds that A.M.T. was not A.M.A.-approved and that its interests were at variance with the interests of patient care. This particular organization was selected, rather than the National College of Radiography Technicians, the American Board of Bio-Analvsts and similar infested groups because of the existence of one of its chapters in Tacoma and because of the writer’s familiarity with the subject. The writer is convinced that the local members of the A.M.T. are still unaware of the fraudulence, misrepresentation and faking which abound in the organization and hopes that they will find out. But the pressure will remain on local physicians to “help” the members by speaking at their meetings and lending their moral support. Local doctors could help the members more by encouraging them to dissolve their affiliation. The problem today is that the Accrediting Commission for Medical Tech­ nology Schools established in 19.59 by the American Medical Technologists and the National Council of Medical Technology Schools has busied itself in “accrediting” a number of commercial schools which range from reasonably good ones to the scandal-ridden Carnegie College of Cleveland and its affiliates in Boston, Detroit, New York City, and Los Angeles. They accredit almost anybody who wants accreditation and it is suggested that any school which would seek accreditation from such an organization is of questionable quality. As national president of the A.M.T. and dean of Elkhart University School of Medical and Dental Technique of Elkhart, Indiana, Hugh A. Woolsey was scheduled to receive his Order of The Golden Microscope, the A.M.T.’s highest “honor” at the June convention of A.M.T. Hugh Woolsey, B.S., Sc.D., Ph.D., DABB-A, got his Sc.D. from Great Lakes College, named by the Cleveland Press as a degree-mill in Detroit. The DABB-A was purchased, says the Cleve­ land Press, from the American Board of Bio-Analysts for $75 and the Ph.D.

(Continued on Page 8) BULLETIN o f th e Pierce County M edical Society 7

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( Continued from Page 6)

was “earned” at Colonial Academy of Rockford, Illnois which was accused by the Federal Trade Commission on Sept. 8, 1960 of using misrepresentation to sell its courses. On Oct. 19, 1960, the cease and desist order was issued by the FTC to the Colonial Academy and also the Pioneer Theological Seminary and the National Association of Bible Schools, Inc., operated jointly with Colonial Academy.

The chief inspector of the A.M.T.'s accrediting commission for schools of medical technology is A. Stephan Michaelson, Ph.D., FACMT, DABB-A. This man is also secretary for the American Board of Bio-Analysts and asserts that his Ph.D. was awarded by Stanford in 1936. But Stanford has no trace of “Dr.” Michaelson.

Charles Feistkorn, administrative dean of Carnegie College, an A.M.T. accredited school, told the Cleveland Press that he was working on his Ph.D. at Avon University in Boston but an inquiry by the Boston Better Business Bureau and the Press got the explanation that Avon “University” in Boston is Avon “College” and does not grant degrees but that Avon “University’’ in Washington state does grant degrees. There is deposited at the Puget Sound National Bank in Tacoma, Wash., a small sum which was to serve for incorpora­ tion of Avon University in Washington and this incorporating was carried out in September, 1952. But Avon University has no address and it would appear that Mr. Feistkorn will have some difficulty in obtaining his degree here.

Mr. Haskell of the Trust Department of the Puget Sound National Bank, assures the writer that the deposit is still in the bank. He is not familiar with the machinations of Carnegie College and was amused to find out that he had received mention in the Cleveland Press. But Avon University is still incorpor­ ated and judging from the information available, is not so reputable as Dr. Andrew Fuller, dean, chancellor and president of the University would have it appear.

This is part of the sordid portrait of A.M.T. and recalls the non-A.M.A. schools of radiology, office-aids and other profiteering schools which dupe the unsuspecting and eager student and recalls also the other conscience-lacking boards and registries which certify them and urge the states to license their graduates.

The audacity of the A.M.T. is awesome. The writer was asked, as late as Aug. 29, 1961, to speak before the local chapter. Another local doctor will undoubtedly be asked. But it is emphasized that our local A.M.T. members are obviously in the dark as to the real nature of the organization. Most got their training the hard way and believe that the A.M.T. is a beneficient body with officers just as sincere as themselves. This isn't true.

If inquiries are received about schools for specialty training, the following list may provide a clue as to what to avoid recommending. Some of these schools are of good standing and record, but the affiliation with A.M.T. raises

(Continued on Page 10) BU LLETIN of the F i e r c e C o u n t y M e d ic a l S o c ie t y 9

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(Continued from Page 8)

serious doubts about their intentions for the future and also about their concern for their students.

These commercial schools of medical technology are accredited by the A.M.T. commission: FLORIDA, Fla. College of Med. Tech., Miami; ILLINOIS, Amer. Academy of Med. Tech. and Chicago School for Med. Technologists, Chicago; INDIANA, Elkhart University; OHIO, Carnegie College, Cleveland; MASS., Carnegie Inst., Boston; PENNA., Franklin School of Science and Arts, Philadelphia; MINN., Northwest Inst, of Med. Tech. (two Minneapolis schools provisionally accredited are the College of Med. Tech. and the Professional Business Inst.); MISSOURI, Gradvvohl School of Laboratory Technique; NEW YORK, Eastern Schools for Physicians' Aides, and the Manhattan Medical and Dental Assistants’ School, Inc., N.Y.C.; NORTH CAROLINA, Dell School of Med. Tech., Asheville; TENN., Southern Academy of Clinical Technoolgy, Nashville; TEXAS, Commonwealth College of Sciences. Avon University has not yet made the list.

If you have patients and friends who want information about the A.M.A.- approved school of medical technology or radiographic technic it is advisable to refer them to St. Joseph’s Hospital or Tacoma General Hospital.

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Channel 11

SUNDAY, SEPTEMBER 24-6 P.M.

when

THE PIERCE COUNTY MEDICAL SOCIETY

presents "ASK YOUR DOCTOR”

the first in the Fall series of weekly

TV programs BULLETIN o f th e Piebce County M edical Society 13

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II. R. 4222 Again Last month the Bulletin discussed the King Bill, HR 4222, by attempting to analyze the arguments in favor of the bill contained in a statement from the Washington State Nurses' Association. It is predicted that this Health Insurance Benefits Act of 1961, a piece of legislation which is no more a pro­ gram of insurance than the Social Security Act itself, will die in committee. But no serious person predicts that the pressure for Fabian socialistic entrap­ ment of medicine will cease with the death of HR 4222. The following presentation clearly illustrates that we already know a great deal about centralized programs of medical care in our own state, where, incidentally, the control of such programs should remain. Washington’s program, with all of its faults, is at least workable and reasonably fair. And it gives us a working base from which to discuss intelligently and factually any program of federal medical care. The paper was prepared for presentation before the Committee on Ways and Means of the United States House of Representatives on August 1, 1961. The speaker needs no introduction other than his own. — Ed.

Mr. Chairman and Members of the eral county medical bureaus. These bureaus . Committee: are physician-sponsored non-profit organi­ zations which furnish medical care on a I am Dr. Homer W. Humiston of Ta­ service basis, by which is meant paid for coma, Washington. I am appearing here in full, and with free choice of physician today as President of the Washington State by the patient. The bureau in Pierce Medical Association. I am also the full­ County is representative of similar opera­ time Medical Director of the Pierce County tions throughout the State, and happens to Industrial Medical Bureau, a physician- be the oldest one, having been established sponsored organization which furnishes in 1917. The Pierce County Bureau covers medical and hospital services to the public 67,000 persons, 21% of the population of on a prepaid service plan basis. the count)'. Statewide coverage by bureaus Those of us who have been actively is of this same order through the several associated with prepaid medical care in the county bureaus. State of Washington have had some experi­ In the early years the coverage offered ence which may be of benefit to the mem­ by the Pierce County Bureau was very lim­ bers of this Committee in considering ited, and was furnished for a monthly H.R. 4222. charge of less than a dollar. This payment Specifically I should like to cite our was a realistic charge for the limited cov­ experience with respect to: erage furnished. The reason that the cov­ 1. The trend of demand by persons cov­ erage was so limited was that the sub­ ered by medical care plans, and scribers were willing to pay only for that 2. The effect on the quality of medical amount of care. As subscribers had experi­ care when medical care is furnished in kind ence with prepaid medical care their desire bv government. for broader coverage developed along with In the State of Washington a significant an understanding willingness to pay the segment of persons covered by prepaid necessary increase in monthly premium. We medical care plans are enrolled in the sev­ ( Continued on Page 16) BULLETIN o f th e Pierce County M edical Society 15

7 earned $5,000 an hour for my family!”

“Just two hours with a trust officer and my attorney got my Will started . . . a Will that means $10,000 m ore for my wife and children, because of tax and other savings. “My ‘estate,’ as they call it, is a modest one. But, as I see it, a Will that makes the most of what I have is the biggest, fastest step I can take toward my family’s security.” Whatever the size of your estate, your Will can increase its value to your family. 16 B U L L E T I N of the Fierce County M edical Society

(Continued from Page 14) not medical care furnished in kind to the whole population is the way to achieve the now provide quite comprehensive coverage best quality of medical care for the people to most of our subscribers. of this country. This process of evolution from quite At this point I should like to relate some limited coverage to more comprehensive observations we have made in the State coverage is not unique to Pierce County. of Washington with respect to the effect on It has also been the experience of everyone the quality of medical care of a program I know of engaged in providing prepaid through which medical care is furnished medical care. in kind by the government. In our State the recipients of medical In our State we have now, and have had care furnished in kind by government for some years, a quite comprehensive plan under our welfare programs have cons­ for furnishing medical care in kind paid for tantly pressed County Commissioners, and by government. Under the program which in recent years, the State Legislature for I refer to medical care is furnished to the more and more comprehensive care, wliich needy and near needy. We are of the belief care, of course, if paid for out of tax funds. that tills program is one of the most com­ In the case of the Bureau operation we prehensive in the country. Close association are dealing with persons who correlate with the administration of this program their desires for coverage with their own willingness to pay the cost. The decision as enables us to observe in actual practice the to the level of coverage is made in this effect of regulation on the quality of medi­ instance by the individuals or groups cov­ cal care. ered, and is fully under their control. Medical care furnished in kind by gov­ In the case of recipients of medical care ernment is purchased by the State “ . . . paid for out of tax funds, there is no such for providing needed medical, dental, and correlation. This lack of correlation does allied services to recipients of public as­ not, however, reduce the pressure for more sistance and medical indigents . . comprehensive coverage under the tax sup­ The medical care section of the Wash­ ported program. The decision as to the ington statutes is found in the Session Laws level of coverage is made in this instance of 1959.°" In this Chapter the Division of by a legislative body either by enumerating Medical Care is charged with taking “. . . benefits or by establishing a budget. into consideration the appropriations avail­ I am sure that the attitudes of the people able.”0 00 The law further provides that in the State of Washington are representa­ “The Assistant Director in the exercise of tive of those in all these United States, and that any program either financing medical “R.C.W. 74.09.030 care or furnishing medical care in kind will ° “R.C.W. 74.09.010 through 74.09.900 be under constant and quite possibly, ir­ C’ *R.C.W. 74.09.090 resistible pressure in the direction of more (Continued on Page 19) comprehensive care. We have observed this for decades and believe this point to have been adequately demonstrated. In my opinion the most important ques­ tion before this Committee and the Con­ gress is the long term implications of em­ .10-12 HOUR HUNGER CONTROL WITH barking on a program of limited medical LESS THAN 1% CNS STIMULATION care furnished in kind by government as proposed in H.R. 4222. Our experience in TENUATE’DOSPAN9 the State of Washington pretty well dem­ onstrates that the real issue is whether or BU LLETIN of the Pierce County M edical Society 17

years o f effective use now prescribed fo r more than 650,000 patients

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BU LLETIN of the Pierce County M edical Society 21 (Continued from Page 19) on the Secretary of Health, Education and the Department has limited the cost of Welfare under the provisions of HR. 4222, such goods and services in such a manner and this will be pointed out later. as not to disturb the medical well-being of Attention is now called to Memorandum the recipients of Public Assistance. The M-9-’61 which was introduced as Exhibit 1. Paragraph (1) entitled “Elective Sur­ 011 ^ Co. Inc, Department has always insisted and will continue to insist that recipients of public gery" which reads in part as follows: “In assistance shall receive necessary medical general, no elective surgery shall be auth­ and hospital care as provided by law.” orized on persons over the age of 65.” Thus Exhibit 2: Part One, General Rules 6c most patients with hernias, varicose veins, bunions, and women with perineal relaxa­ 2-S47S Regulations of the State Department of Public Assistance Medical Care Program, tion are not furnished surgical treatment by as revised October 1, 1960. this program. The surgical treatment thus denied is in no case life saving nor even '■ - ^AlYSiS Of “C. STANDARDS OF CARE (Revised October 1, 1960) life prolonging. This category of surgical ?=CGHAM “Within the limitations of available funds, treatment has the purpose of increasing the the Department shall furnish only essen­ patient's comfort. It is not deemed to be I tial medical care for: “necessary” medical care. The type ol quantitative regulation of medical care has Sstts.-; L Simpson “1. Essential chronic, emergent and acute conditions of continuing assis­ the effect of lowering the overall quality of Edwad J. Pole tance recipients. care. An individual who, for example, has T. 0. lefey “2. Conditions currently endangering his gall bladder removed under this state life or a medical condition which if program, receives medical care which is not immediately treated would neces­ identical with that received by other pa­ sitate extended hospitalization and/or tients. The impact of regulations on the surgery for recipients of non-con­ quality of medical care is caused by restric­ tinuing assistance, medical assistance tions imposed which delineate the choices for the aged and medical indigent a patient and a physician may agree upon care.” in the patient’s best interest. Before proceeding I wish to make it Paragraph (3) of this memorandum THERr, Inc, clear that as a physician and as a citizen leads as follows: "Screening physicians are of the State of Washington I am not reg­ instructed to carefully scrutinize all re­ istering any criticism of the basic statute quests for non-formulary drugs and author­ r 3-5595 nor of the rules and regulations that have ization should be granted only when they are actually life-saving or absolutely es­ , * it a c -*3y been promulgated. I wish to commend the intent of the sential in the patient's care.” The formulary pr; JJUDING statute but also point out that the adminis­ referred to is published by the Department trative procedures are necessary and in­ of Public Assistance. Here again the regu­ escapable evils whenever government fur­ lations restrict the choices a patient and a nishes medical care in kind. physician may agree upon in the patient's The very essence of the problem facing best interest. those charged with administering any pro­ Paragraph (5 ) of this memorandum en­ gram which furnishes medical care in kind titled “Hospitalization”, reads in part as paid for out of tax funds is very easy to follows: “Screening physicians shall place pin point. It is simply the responsibility to special emphasis on hospital screening. Un­ define the adjective “needed” as applied to necessary care will be denied." Here again medical care in the Washington law.4 the regulations restrict the choices a patient and a physician may agree upon in the r : : ^ 3 S A comparable responsibility would fall patient's best interest. °RC.W. 74.09.030 ( Continued on page 23) 2 2 B U L L E T I N o f th e Pierce County M edical Society

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Free' Prescription Delivery BU LLETIN of the Pierce Countv M edical Society 23

(Continued from Page 21) medical care and medical care furnished Again, I wish to emphasize that the fore­ in kind by government. going is not in the nature of criticism of We have learned that there is constant the regulations promulgated by the State pressure from those covered by both types Department of Public Assistance in the of medical care plans to make their plans State of Washington. These regulations are, more comprehensive. as I said before, necessary and inescapable We feel, consequently that pressure evils whenever government furnishes medi­ would be exerted by recipients of care cal care in kind. under a law such as H.R. 4222 for many In writing a law to govern the use of tax more benefits than this bill provides. This funds in providing medical care in kind pressure for more steps beyond this first there are two approaches possible. The law one leads us to believe that the long term could provide for any care which a patient effects of embarking on such a program as and his physician agreed upon as being in H.R. 4222 represent a more important con­ the best interest of the patient. This is sideration than the details of this bill. We not the approach used in H.R. 4222. In Sec. arc concerned that if the Congress accepts 1609 and in Sec. 1615 of H.R. 4222 are the principle of furnishing medical care in found the basic authorizations for regulat­ kind to other than the needy or near needy ing medical care comparable to the pro­ we may well be on the way to a universal visions of the Washington statute cited program of this type, a monolithic program. above. We have learned from experience that Sec. 1615 of H.R. 4222 reads as follows: medical care furnished in kind by govern­ “When used in this section, the term ‘reg­ ment is regulated medical care and the ulations' means, unless the context other­ quality of that care is adversely affected. wise requires, regulations prescribed by Under such a program we can anticipate the Secretary.” trusses instead of operations for hernia, To skip through Sec. 1609 we find that elastic stockings instead of vein stripping “. . . payment for services . . . mav be operations. This type of regulation can be made . . . only if . . . a physician certi­ tolerated and does exist in our welfare pro­ fies in writing . . . as may be provided in gram. However, this is a small island in a regulations . . . such services are or were large sea of other ways of furnishing medi­ required ...” cal care. Consequently, such a regulated Sec. 1606 relating to hospitals provides in program is constantly up for comparison (a) (5) for a “hospital utilization commit­ with the care others in the community are tee”, the duties of wliich are defined in receiving. For the sake of the quality of the Sec. 1606 (e ) which reads as follows: “ ‘A care, we need to preserve our present vari­ hospital utilization committee’ in the case ety of ways of paying for medical care, of any hospital means a committee, com­ including that for the aged. There are no posed of physicians, or of one or more other considerations with respect to medi­ physicians and other professional person­ cal care that are of more importance than nel, which reviews (from the standpoint of the quality of the care. the necessity therefor) admissions into, the duration of stays in, and the services fur­ nished in such hospital”. Such a committee DAMMEIER would, of course, have to be guided by the regulations which the Secretary would pre- Printing Co. scribe under Sec. 1615. BRoadway 2-8303 Conclusion We have had extensive experience in the 811 Pacific Ave. Tacoma State of Washington with both prepaid 24 B U L L E T IN o f th e Piekce County M edical Society

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HAMILTON OFFICE EQUIPMENT LIEBEL-FLARSHEIM DIATHERMY AND ELECTROSURGICAL EQUIPMENT C. R. BARD UROLOGICAL INSTRUMENTS BURDICK PHYSIO-THERAPY EQUIPMENT CAMBRIDGE ELECTROCARDIOGRAPHS WILMOT CASTLE STERILIZERS AND LIGHTS SKLAR, HASLAM AND LAWTON SURGICAL INSTRUMENTS 2S B U L L E T IN of the Pierce County M edical Society yard where a fantastic rocket ship is under member having said the same thing about construction. Runner-up for point of inter­ orthodontia years back, before producing est was Marge Wick's new hairswitch, five candidates. But Faye’s attitude is temp­ evincing that Marge by any color is just ered by a very practical idea . . . it as gorgeous. might be desirable to have a home shelter Fall-outs Are In once public shelters have been provided. It was our good luck at Jean Vadheim’s We encountered the Governor on the lor lunch one day to be caught in the midst logs the other evening and inquired about of Auxiliary's cosmopolitan clique, namely state support for public fall-out shelters. He Ada VanDooren, Gonja Klein, Jean Malden, suggested that since we’re so excellent with Sheila Dimant, and that very attractive the shovel when it comes to clamming-out newcomer Faye Goodson. The conversation his beach, we could probably do the exca­ was fascinating and involved bomb shel­ vating for the city of Tacoma ourselves. ters, or fall-out shelters as they are now Delegates Sign In Here called. The Dimants are installing one be­ The annual meeting of the State Medical hind their garage, with double walls three Auxiliary takes place in Seattle September feet thick. It will eventually be equipped 17 through 20. This is always a lot of fun with its own generator and oxygen supply. to drop into for several meetings. Good The G ross family had a shelter installed ad­ representation at these meetings is an abso­ jacent to the basement of their home in lute must, and Delegates who can look alive June. all day are needed. If you are interested, This luncheon conversation was unique, but would be unable to attend the whole for each of these young women had experi­ session, you may still participate as an enced the stark necessity of the shelter. Ada Alternate. Call Keaty Gross for this. VanDooren, who holds a medical degree of her own, was at school in Amsterdam most To Welcome New Members ol the war, feels the shelter is inevitable. Pat Hoover and Edith Lawrence will be The VanDoorens and their neighbors on in charge of the informal party to welcome Browns Point are talking up a cooperative new Auxiliary members next month, two shelter that can also lie put to use as a weeks previous to the October meeting. Pat neighborhood recreation room. Raised in will call new members and executive board the Dutch East Indies during the war, members in invitation to this. The Hoovers Gonja Klein couldn't sec much purpose in had half a nice trip to California last month, building an expensive shelter, but after a were plagued by car trouble on the return quick thought came up with the idea that half, drove in reverse on the freeways on perhaps a shelter could double as a guest­ the last lap. room without a view, or as a blast-proof teenager's room . . . wonderful idea! However Doctor Bob doesn't share his wife’s light view and lias called in a con­ tractor to see about having a shelter built BEALL’S in their basement. Jean Malden, from the midlands of England, said they appreciated having a shelter in their garden during ; The Prescription Store two raids that almost leveled her home town. Faye Goodson, who spent a good 124 Meridian South deal of her childhood in a London shelter, PUYALLUP felt it was the worst way to live, and main­ tained bravely that she would never sub­ Phone Puyallup 5-8444 ject her children to such misery. We re­ First total regimen in athlete’s foot Advicin is the first topical preparation to combine the proved a n h id r o t ic and antipruritic benefits of an anticholinergic with widely accepted fu n g ic id a l and keratolytic a g e n t s ... A d v i c i n reduces local sweating, helps keep feet dry...helps relieve itching promptly...has a pleasant medicinal scent...may shorten the fungous-clearing time required with oral Fulvicin. Supplied: A d v ic in P o w d e r — 2 ounce can —fo r daytime use. A d v ic in Cream —50 gram tube -for nighttime use. For complete details, consult latest Schering literature available from your Schering Rep­ resentative or Medical Services Department, Schering Corporation, Bloomfield, New Jersey. s-sa4 n e w “

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7 "r * ■ r 1 - 2 - 3 - Year Leases v ‘.' Doric Pharmacy C . V . '' ' SEDANS - STATION WAGONS HARD TOPS - CONVERTIBLES FUlton 3-1145 THUNDERBIRDS ______BU LLETIN of the P i e r c e C o u n t y M e d i c a l S o c i e t y ______3 J Mental Health and Faith Home Supplies Industry The Medical Auxiliary has established in the offices of the Pierce County Medical The Sth Pacific Northwest Industrial Society a collection station for contribu­ Health Conference (Portland, Oregon Sep­ tions to the Faith Home. The contributions tember 11-12— Multnomah Hotel) offers asked for are drugs. first-hand information of actual programs in The Auxiliary will appreciate it if your industry and their relationship to industrial office samples of drugs are collected and health costs, higher morale, greater effi­ ciency, less absenteeism, improved public deposited with Judy Gordon. Dr. Bass suggests that the most valuable items are relations, lower insurance anil workmen’s compensation. iron, calcium, vitamins, tranquilizers, di­ uretics, nausea controllers, etc. Such topics as: This will be a continuing program and 1. Mental Health: Cause of absenteeism, will provide an easy but effective way of alcoholism, lower production, low supporting the Faith Home program. . . . morale— DON’T FORGET! 2. Are These Management's Responsi­ bility? 3. Environmental Health: Labeling, handling, using of toxic chemicals. AAMA To Hold 5th 4. Where Are We and Where Are We Annual Meeting Going? Health programs—by busi­ New wonder drugs, medical quackery, ness . . . by insurance carriers. future training programs and professional will be discussed by top men in psychiatry liability are among subjects to be con­ and industry. sidered by medical assistants when they Dr. Herbert Modlin (Menninger Founda­ gather October 13-15 at Reno, Nev., for the tion) well known for his work in the field fifth annual convention of the American of psychiatry will speak on "Emotional Association of Medical Assistants. Problems of Employees” and “Psychologi­ More than 1,000 medical assistants are cal Techniques in Handling Stress.” expected to attend the meeting at the Holi­ James W. Hammond, M.S., Chief Indus­ day Hotel to hear talks by physicians, pro­ trial Hygienist, Humble Oil and Refining fessional management experts, educators Co., Houston, Texas, will discuss the prob­ and officials from governmental, pharma­ lems of “Handling, Labeling, and Storage ceutical and military fields. of Chemicals.” Additional information may be obtained “Health Programs by Industry" will be from the AAMA headquarters, 510 North covered by B. Dixon Holland, M.D., Secre­ Dearborn Street, Chicago 10, Illinois. tary, Council on Industrial Health, Ameri­ can Medical Association, Chicago, Illinois. “Health Programs by Insurance Carriers" will be the topic of Earl T. Dewey, M.D., Medical Director, Metrooplitan Life Insur­ ance Co., San Francisco. 10 -12 HOUR HUNGER CONTROL WITH Mr. A. G. Halverson, Vice-President, O c­ NO REPORTED CONTRAINDICATIONS cidental Life Insurance Co. of Los Angeles, will dwell on the subject “Expanded Health Programs— Whose Responsibility.” TENUATE* DOSPAN' Registration fee for the two day confer­ ence is $10.00. Pierce County Medical Society BULK RATE___ Medical Arts Building Tacoma 2, Washington U. S. POSTAGE PAID TACOMA, WASH. PERMIT No. 300

MONTHLY MEETINGS STAFF OF DOCTORS HOSPITAL OF TACOMA Second Monday of March, June, Sept., Dec.— 7:30 p.m. Auditorium of Medical Arts Bldg. STAFF OF GOOD SAMARITAN Second Monday of March, June, Sept., Dec.—6:30 p.m. STAFF OF NORTHERN PACIFIC Second Monday of each month—noon. STAFF OF ST. JOSEPH'S Third Monday of March, June, Sept., Dec.— 6:15 p.m. STAFF OF MOUNTAIN VIEW GETvERFL pr>~^r'7U. Last Monday of February, June, September and November TACOMA ACADEMY OF PSYCHIATRISTS and NEUROLOGISTS First Tuesday of each month—8:30 p.m. Board Room of Pierce County Medical Society PIERCE COUNTY MEDICAL SOCIETY Second Tuesday of the month except June, July & August — 8:15 p.m. STAFF OF TACOMA GENERAL First Tuesday of March, June, Sept., Dec.— S:30 p.m. TACOMA SURGICAL CLUB Third Tuesday of each month—6:30 p.m. at Tacoma Club TACOMA ACADEMY OF INTERNAL MEDICINE Fourth Tuesday of each month— 6 p.m. at Tacoma Club TACOMA ACADEMY OF GENERAL PRACTICE Fourth Monday of each month except June. July & August —6:30 p.m. at Honan's PIERCE COUNTY PEDIATRIC SOCIETY First Friday of each month except June, July and August STAFF OF MEDICAL ARTS HOSPITAL Third Friday of March, June, Sept., Dec.—7:15 a.m. at New Yorker Cafe. STAFF OF MARY BRIDGE CHILDREN'S HOSPITAL Fourth Friday of March, June, Sept., Dec 12:15 p.m. ' IUJLLETIN. PIERCE COUNTY MEDICAL SOCIETY 2 BULLETIN of the Fierce County Medical Society Pierce County Medical Society 1961 OFFICERS P re sid e n t ...... Chris C. Reynolds President-Elect...... G. Marshall Whitacre Vice-President...... Robert M. Ferguson Secretary-Treasurer...... Arnold J. Herrmann Executive Secretary...... Judy Gordon

TRUSTEES Glenn H. Brokaw Chris C. Reynolds Dale D. Doherty Cyril B. Ritchie October Birthdays Robert M. Ferguson Frederick J. Schwind Arnold J. Herrmann John M. Shaw HAPPY BIRTHDAY! George S. Kittredge Stanley W. Tuell Robert W. Osborne G. Marshall Whitacre

D E L E G A T E S DUDLEY HOUTZ Douglas P. Buttorff George S. Kittredge HELEN PRICE SMITH Arnold J. Herrmann Stanley W. Tuell Herman S. Judd Wayne W. Zimmerman L E S T E R S. BA SKIN ALTERNATE DELEGATES M. R. HOSIE Charles R. Bogue Robert W. Florence Glenn H. Brokaw Glenn G. McBride EDWARD R. ANDERSON Robert M. Ferguson Frederick J. Schwind ARNOLD J. HERRMANN COMMITTEES SOMERS SLEEP E th ics Miles Parrott, Chairman J. ROBERT BROOKE Haskel L. Maier William H. Goering G rievance D A V ID D Y E Cyril B. Ritchie, Chairman J. W. Bowen, Jr. Herman S. Judd KENNETH GROSS Program THOMAS LAWLEY Robert C. Johnson, Chairman Robert A. O’Connell Buel L. Sever 6 DARCY M. DAYTON L ibrary S. Robert Lantiere, Chairman 7 HASKEL MAIER Edmund Deming Haskel L. Maier tudley W. Houtz John F. Steele RICHARD RICH Public Health Max S. Thomas, Chairman 9 JE S S R EA D Charles McGill George A. Tanbara Public Relations 1 0 DONALD NEVITT Robert M. Ferguson, Chairman Kenneth E. Gross John M. Shaw 1 1 MYRON KASS Arnold J. Herrmann George A. Tanbara Arthur P. Wickstrom 1 2 ROBERT KALLSEN House and Attendance William E. Avery, Chairman 13 G. W. BISCHOFF Eugene Hanson Haskel L. Maier Civil Disaster 14 ROBERT BOND David T. Hellyer, Chairman Richard B. Link Leo F. Sulkosky FRANK JAMES John M. Shaw Arthur P. Wickstrom D. G. KOHLER T. R. Haley Charles E. Kemp D iabetes 15 JAMES McNERTHNEY Edwin J. Fairboum, Chairman Frank W. Hennings John S. May 16 MURRAY JOHNSON Entertainment Samuel E. Adams, Chairman WILLIAM LUDWIG L. S. Durkin Robert M. Ferguson Robert A. Kallsen 17 C. B. RITCHIE Geriatrics John F. Comfort, Chairman 19 DAVID HELLYER William P. Hauser William McPhee Leonard Morley VINCENT MURPHY Legislative 2 0 Wayne W. Zimmerman, Chairman DUMONT STAATZ Douglas P. Buttorff Charles C. Reberger John M. Shaw 2 1 B U E L SE V E R Medical Education Elmer W. Wahlberg, Chairman 23 H. A. A N D ERSO N Glenn H. Brokaw Clinton A. Piper 24 d i Schools G IU L IO FU R IA R. A. Norton, Chairman Theodore Apa George S. Kittredge 25 DONALD ALLISON Orvis A. Harrelson Jack w. Mandeville CHARLES McGILL George A. Tanbara Traffic and Safety 31 JOHN KEMMAN Albert Ehrlich, Chairman Mental Health JO H N SR A IL William H. Todd, Chairman James W. Boudwin Hugo Van Dooren Bulletin Staff Editor ...... Charles C. Reberger Business Manager ______Judy Gordon PATRONIZE YOUR ADVERTISERS Auxiliary News Editor ______Mrs. Robert A. Kallsen 4 BULLETIN o f th e Fierce County M edical Society Dr. Robert B. Truckey Conference on Disaster Medical Care The 12th County Medical Societies Con­ ference on Disaster Medical Care will be held in Chicago, Nov. 4-5, at the Palmer House. “A How Do You Do It at the County Level” is the basic theme of the national meeting which is sponsored by the Ameri­ can Medical Association’s Council on National Security. The two-day conference will be divided between symposiums and regional work­ shop sessions. One symposium will be de­ voted to “The County Medical Society and Disaster Medical Care.” A second will in­ clude pertinent topics under the general Dr. Robert B. Truckey was born in heading of “Training of Allied Health Pro­ Seattle, Wash., on January 31, 1923. He fessions and Services.” received his degree from St. Louis Uni­ Regional workshop groups will have a versity in 1950 and took his internship and wide variety of topics for discussion de­ residency at Providence Hospital in signed to acquaint the participants with Seattle. disaster planning at the city, county, state, Dr. Truckey began practice in Pierce and regional levels. County July 1, 1961, and he and his wife, Among the featured speakers will be Dorothy, live at 634 Vista Drive. He is a Frank B. Ellis, Washington, D.C., newly specialist in Ear, Nose and Throat with appointed director of the Office of Emer­ offices in the Medical Arts Building. gency Planning. Mr. Ellis has tire respon­ sibility for planning for the continuity of state and local governments’ defense pro­ grams, the natural disaster relief program, Dr. John Colen the defense mobilization program, and the strategic and critical materials stockpiling Dr. John Colen was born in Haarlem, programs. Netherlands on November 29, 1923. He Additional information regarding the received his degree from the State Uni­ conference can be obtained by writing Mr. versity of Leiden College and Medical Frank W. Barton, Secretary, Council on School in 1950 and interned at Leiden National Security, American Medical Asso­ Medical Center Hospitals where he also ciation, 535 N. Dearborn, Chicago 10, 111. took his residency. Additional residencies were taken at the University of Pittsburgh Medical Center Hospitals, the Montfiore Hospital, Pittsburgh, and the Kaiser Foun­ UGN dation Hospitals, Vancouver, Wash. Dr. On the matter of contributions, UGN is Colen began practice in Pierce County in getting under foot again and this year the September, 1958; he received his U.S. citi­ solicitations will be by mail. Let us hope zenship in May, 1961. He and his wife, that everyone can chip in generously and Eugenia, live at 517 North 6th. Dr. Colen’s make the mail program a success. There is practice is limited to allergy with offices a practical reason for supporting this year’s in the Medical Arts Building. program. If its results are not so good as the person-to-person style approach, you may be asked to solicit next year. PATRONIZE YOUR ADVERTISERS — Ed. BULLETIN o f th e Pierce County M edical Society

REGULAR MEETING

PIERCE COUNTY MEDICAL SOCIETY Tuesday, October 10

MEETING . . . 8:15 P.M.

MEDICAL ARTS BUILDING AUDITORIUM

PROGRAM

Dr. S. F. Herrmann ‘SURGICAL EXPERIENCES IN VIET NAM”

A no-host social hour and dinner will precede the meeting Social Hour: 6:00 Dinner: 6:45 Place: Honan’s Restaurant 739V2 St. Helens Ave. 6 BULLETIN of the Pierce County M edical Society October Calendar of Meetings

MONDAY TUESDAYWEDNESDAYTHURSDAY FRIDAY O 2 O 4 5 6

Tacoma Acad, of Pierce County C.P.C. of St. Psych. & Neurol. Pediatric Society Joseph’s— 9 a.m. 8 :3 0 p.m.

9 10 11 12 13

P IE R C E C.P.C. of St. COUNTY Joseph’s— 9 a.m. M ED ICA L SO CIETY 8:15 P.M.

16 17 18 19 20 C.P.C. of St. Joseph’s— 9 a.m. Tacoma Surgical Club— 6 :3 0 p.m. P.C.M.B. Board 8 :0 0 p.m.

23 24 25 26 27

Tacoma Academy C.P.C. of St. of General Practicc Tacoma Academy Joseph’s— 9 a.m. 6 :3 0 p.m. of Internal Mcdicine 6 :0 0 p.m.

30 31

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On Hospitals and Hotels

Last month, Northwest Medicine earned a letter to the editor comparing the rates in hotels with those in hospitals and the comparison justified, in that writer's mind, the excessiveness of the cost of hospital service. This letter raised some indignant cries not only from doctors but from hospital administrators.

But who was the culprit who called attention to the use of the word “hotel” in hospital management? It was not the writer of that letter. Rather, it was the hospital administrators and their colleagues themselves.

The Washington State Hospital Association has used for some time in statistical coding the handy phrase “hotel-type services” to cover those areas of hospital cost which generally are regarded as being of non-professional nature. The term is not unique with them but keeps popping up in the hospital literature for the whole country. Since this misuse of words is so prevalent among hospital administrators and statisticians, why then should anyone blame the writer of the Northwest Medicine letter for employing this equation in drawing his conclusions?

We know that an executive hospital housekeeper is not in the same league with the hotel housekeeper, that a dietician is not the same as a hotel cook and that hospital laundry problems are far more complex than those of any hotel. Yet, we persist in parroting “hotel-type service” in spite of our knowledge that this service is not at all hotel-type. Dr. Zimmerman’s man-in-point, Keynes, would have been delighted with such a semantic cross-over since it suits the purposes of Fabian Socialists quite admirably, namely to confuse everybody so much that they feel inadequate to deal with a problem and readily turn it over to salariat watch-birds in government.

But we must not be confused ourselves. Dr. Zimmerman’s analysis of the causes may be criticized as over-simplification by any economist who thrives on complicating simple matters. But the reasoning in his letter is sound and it is, even if over-simplified, entirely accurate.

The new hospital rates are with us on November 1, 1961. There is reason for the new rates and that reason is not one of inept administration of hospitals. Centralized government won’t run them any more economically than our own administrators but the silence, if it persists, of the hospital boards, administra­ tors and doctors will contribute to the setting of the groundwork for our people to request the government to try. —Ed. BULLETIN of the P i e r c e C o u n t y M edical Society 9

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W r it e f o r S a m p le fPACIFIC PAPER PRODUCTS, INC. and Information - 1015 SOUTH 12tll ST. • TACOMA 5, WASHINGTON • U.S.A. 10 BULLETIN of the Fiehce County M edical Society GUEST EDITORIAL John Keynes and Hospital Costs In these days when our people seem to be preoccupied with hiding in bomb shelters and to neglect the obligation to strengthen themselves and their country, a parallel attitude of retreat from reality may be found in the tendency of our hospitals to hide from public opinion and to neglect facing up to the fact that their failing honestly to present the facts leads only to further misunderstanding and eventual frank hostility. In view of the recent rise in hospital rates and the ominous quiet which accompanies it, Dr. Zimmerman’s letter is most timely. —Ed.

Have we lost the public opinion battle? Practically all public information media, popular magazines, television, newspapers, radio and especially the labor publications, have thundered about the high cost of medical care. Kefauver has attempted to distort the true picture of the drug industry. And who is to blame? Why, the doctors, of course. The doctors prescribe the drugs, doctors hospitalize the patients and run the hospitals, don't they? While doing so aren’t the doctors all getting very rich? And we, in effect, have been taking the fifth amendment! We have failed to explain the many factors involved, and are, therefore, losing the battle because of our own inarticulation. From the last statistics I have available, hospital costs have gone up over 310%, while the cost of living went up 101%. Physicians’ fees went up about 78%, and drug costs went up only 47%. During this rapid rise in hospital costs die wages paid to nurses and labor in the hospitals went up over 350%. Now, why? Nurses were poorly underpaid, and are now getting a more equitable payment for their services. People should realize that the government deficit spending, which has produced progressive inflation, is not going to lower hospital costs, that they will keep rising as long as inflation is present because over 70% of hospital costs go into wages and salaries. Our own Pierce County Hospital Council recently met and raised the ward rates to $24.50 per day, but there has been a complete lack on their part in explaining how the money is used and why their costs have gone up. If they are silent the doctors will continue to take the blame. The hospitals could also educate the public as to how many employees are necessary per patient, and why they are necessary, and why their operation is not the same as that of a hotel. The real targedy is that in each of these items, when people think they are paying too much, they fail to see the source of their trouble and that lies in our Keynesian philosophy of the new' deal and the new frontier that deficit spending and inflation are a good thing. They didn’t study far enough, because Lord Keynes, himself, thought tiiat labor would not be smart enough to demand progressive raises with each cost of living boost. However, labor turned out to be smarter than Lord Keynes, and Keynes’ political philosophy, which is not a scientific economic order, is now ruining the economic stability of our entire country. Only by a thorough presentation of the true reasons for hospital costs, and by cooperative explanation by hospital administrators can any progress be made in educating the public and business leaders. We physi­ cians should keep pounding away at an obvious fact, namely that government (Icfic't spending equals inflation, equals higher wages, equals higher hospital costs. Stop government deficit spending and costs can be stabilized.

—W a y n e W. Zim m e r m a n , M.D. 12 BULLETIN of the Piebce County M edical Society normal. The surgical procedure was pre­ Surgical Approach sented. The drum is incised with a semi­ circular incision just peripheral to the tym­ To Otosclerosis panum. This is developed as a flap and the (Presented at Sept. Staff Meeting of tympanum is lifted. At this point, he said, Medical Arts Hospital the incus is readily visualized with its capi- by Dr. Robert Truckey) tulum attached to the stapes. The oval win­ dow is in direct view. At this point the Dr. Truckey stated that otosclerosis in­ cura may be cut, the oval window thinned volved a process of new bone formation in and finally fractured. the labyrinthian capsule with eventual fix­ He contrasts this procedure with the ation of the Stapes at the oval window. The earlier fenestration-type of procedure as overall incidence is between 0.5 and 1 per devised by Lempert. This procedure in­ cent with women outnumbering men in a volved a modified mastoid surgery with ratio of approximately 6-1. Dr. Truckey fenestration of the lateral semi-circular stated that the etiology is not clearly de­ canal. Dr. Truckey pointed out that this fined. There appears to be some role of is a major procedure and often these pa­ inflammation and it has been noted that tients end up wet with their ossicles re­ otosclerosis is exaggerated by pregnancy moved. They frequently have marked ver­ and that this may show some relationship tigo and occasionally require hospitaliza­ between calcium, phosphorous and hor­ tion for as long as a month. mone levels. The physical E.N.T. findings Dr. Truckey stated that with the stapes are usually negative to examination. Deaf­ mobilization procedure, in older individ­ ness usually occurs in the late teens or early uals, solid bone may be present and it may twenties. The audiogram findings are be necessary to drill to get the stapes out. characteristic. The oval window is fractured with a fine Dr. Truckey presented the normal audio­ pick and gelfoam is placed to protect the gram and compared this with the audio­ labyrinth. The incus is hooked up with a gram in otosclerosis in which the bone polyethylene tubing from the incus to the conduction remains relatively normal, but foot-plate. in which the air conduction is sharply re­ Dr. Truckey stated that complications duced, particularly in the low cycle range are not completely known, since this pro­ where deafness of minus 45 to 60 decibels is cedure has only been popular for the past not uncommon. He compared this with the three years. Among the known complica­ type of audiograms seen in nerve loss deaf­ tions, he mentioned sterile labyrinthitis ness in which the depression is more wliich results in vertigo and a dead ear. marked in the higher cycles. He pointed This may result in about one per cent of out that in this latter condition women’s these patients. He stated that good results voices become bothersome and ambient may be expected in 80 to 90 per cent of noises are extremely annoying. These pa­ individuals, but in a few where nerve deaf­ tients, because of the type of deafness, do ness is also present, the troubles may be not tolerate well a hearing aid in contrast added to. Another complication was re­ to otosclerosis where hearing aids offer fixation of the stapes. The incidence of this considerable improvement. He pointed out that there is no known medical or surgical is approximately 30 to 60 per cent, if only treatment at the time for nerve loss the stapes is mobilized. Another complica­ deafness. tion is the slipping off of the polyethylene strut which fastens from the incus to the The anatomy was presented and the pathology consists of a process of new bone gelfoam membrane and the last complica­ tion was the necessity of sacrifice in some formation over the stapedius foot-plate and individauls of the chordae tympani nerve. oval window which in extremely advanced cases may amount to a formation of true- Ordinarily, he stated, this is not a particu­ larly worrisome problem, since only about bone ph.te. He pointed out that the drum one-fourth of the taste buds are affected may. or may not, be thickened and that often-t^mes the drum appears practically (Continued on Page 14) BULLETIN of the Pierce County M edical Society 13

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Providing Fine Funeral Services Since 1905 717-719 Tac. Ave. So. Phone MA 7-7745 14 B U L L E T I N o f th e Pierce County M edical Society (Continued from Page 12) Alcoholism Workshop by the sacrifice of this nerve; but in cases of bilateral surgery, elaborate steps are To Be Held Oct. 19 taken to preserve this structure. An alcoholism workshop for Pierce Dr. Judd asked about anesthesia and the County physicians will be held at the Doric answer was that the anesthesia consists of Motor Hotel on October 19. one milliliter of two per cent Xylocaine and The program will begin with a film at a pre-medication of three grains of Nem­ 10:15. Dr. A. L. Ruprecht will speak on butal; 100 milligrams of Demoral and the “Treatment of Medical Problems in 1/100 grains of Atropine. Dr. Truckey Alcoholism,” in the morning session. stated that one of the advantages of the Dr. Frederick Lemere will talk on “Drug local anesthetic was that surgery could be Treatment of Alcoholism,” at the noon no­ carried to the point where hearing was re­ host luncheon in the Mar Monte Room at stored and stopped. He emphasized that the Doric. this is a procedure which must be per­ At the afternoon session beginning at formed with the end result in mind and that 1:45, Dr. Ruprecht will discuss “Early he stops at any point where hearing is Diagnosis of Alcoholism.” At 2:30 a panel restored. on “The Para-medical Team and Other Re­ Dr. Larson asked what antibiotics were sources” will be given covering the health used on these patients and Dr. Truckey was department program, hospitalization, Alco­ enthusiastic in his endorsement of antibi­ holics Anonymous as a resource, coun­ otic medication for these people and stated selling for family needs, and in-state re­ that he prefers a combination and prefer­ sources for alcoholics. A discussion period ably Penicillin with Triple Sidfa. Dr. Lar­ will follow at 3:45. son also mentioned the failure of routine This program was arranged by Doctors antibiotic coverage for usual surgery and Max Thomas and Charles McGill of the Dr. Truckey stated that he thought that Medical Society Public Health Committee, this was a different consideration. Dr. and Dr. C. R. Fargher, director of health. Truckey said that he uses post operative eustachian tube insufflation and that the patients usually stay in the hospital for AP Release about two days; but that in some people, where uncapping of the labyrinth may From the pages of the Tacoma News bring about nystagmus, they may require Tribune . . . a few days further hospitalization. Ordin­ “. . . Anyhow, the hore finally got tired. arily, the procedure takes from 60 to 90 Johnson dismounted, had a doctor look at minutes. a couple of his bruises and went back on d u t y . Dr. Camp asked what is done when the “It’s all in a day’s work for a New York external auditory canal is of such nature as police officer.” to prevent visualization, and Dr. Truckey replied that in these cases, the endaural ap­ (We admire candid reporting. —Ed.) proach is still preferable, even if it means drilling to make the opening accessible.

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AUXILIARY O FFIC ER S— 1961-62 way to take care of luncheon obligations president ...... Mrs. Kenneth E Gross collected through the year, as non-Auxiliary President-Elect .... ______Mrs. Herman S . Judd i i i i rr m i ist \'ice-Piesidont ...... Mrs. Philip Greniev members dearly love this airair. Ih is year 2nd Wce-President ...______. Mrs. Hubert R. Burt ,, ■> , i • i r 3rd Vice-President . ______Mrs. william Burrows y o u r tic k e t m o n e y m u s t b e in b e r o r e y o u r Mrs. Dod^wPHoTte reservation is made, and if you cancel out ff:S rding Secret‘>ty after the 20th, you’ve just donated your Assistant Treasurer ...... Mrs. Glenn H . Brokaw money tO a WOlthy Cause. No-hoSt COck- i \i committee chairmen tai]s ]-,egjn a(; n :30 and luncheon will be American Medical Education ° , . Foundation ...... Mrs. EJmer w. Wahibevg served at 12:30. Theme or the party IS National Bulletin ...... Mrs. Jack Mandeville TT . r r-t i • n * i Civil Defense ...... Mrs. Robert r . Burt Harvest or Fashion, and Andrews has L^gSh-ceverything that’s new and beautiful for this Membership...... Mrs. Galen II. Hoover and cVi™t7 Mrs. M. E. Lawrence • Nurse Recruitment______Mrs. G. W. BischofF ~ Paramedical ______Mrs. Mvron A. Bass State Auxiliary M eeting Program ...... Mrs. M. Wicks pnbhdty ------Mrs. Robert c. Johnson President Keaty Gross wall relay the Bulletin ------Mrs. Robert A. Kallsen c i r* • r- i Revisions ...... Mrs. Richard F. Barronian neW S 11*0111 th e b ta te m e e tin g s HI b e a ttle Safety ...... Mrs. Robert W. Osborne i , .i t> n J j-l~ £ Social...... Mrs. Robert w. Florence and last month. Bulletin made the scene ror one Speakers Bureau ____ ^irs^phi^'^niw da>' the meetings and reports here in our T o ^ s nHealth M ^ B e S d r R .^ ^ e n USlli)1 b ia S e d fa sh io n . Mmute W nmen ------Mrs. G eor^ a . j „ d At the meetings on Tuesday the State

Community Scm ce ------Mrs. Oms a . Hatreison President-elect, Mrs. Donald Evans, re- i-ieart ...... Mrs. Edward R. Anderson ’ ’ S?ncCT ------Mrs. j. Robert Brooke ported on the National Auxiliary Conven- 1' mancp .... ------Mrs. J. Robert Brooke ' • Community Council ------Mrs. John F. Steele tlOn, and the County past-presideilts Dance —- ...... — Mrs. John S. May and .1 1 . .1 . . .1 , Mrs. David f . Dve throughout the state gave their annual re- Fashion show ...... ^sl^sseif q 'C oiVey ports. Mrs. Evans gave the Auxiliary goal Cook Book. --- Mrs. Thomas B. Murphy and fnr 4-l,„ |-rnnin ( a ' ■ • ■ i O C ie a te a ------better image of the doctor, his wife and his October 20 is the date of the Auxiliary family in the minds of our fellow citizens.” membership meeting. It will be a coffee The idea being, How Do W e Project? The party at 10:30 at Maybelle Miller’s home impression doctors’ wives make in the com- in Lakewood. Maybelle will post signs to munity may have some bearing on I lie pub- help everyone find her place, which is at lic attiude towards the medical profession. the end of Lake Steilacoom Drive. National and State Auxiliary urge us to Remember to bring along the clothing make our contributions to the community s you have for the rehabilitated patients at benefit as Politic as possible, make them Western State Hospital. A neat suit or " 01 thwhile and make them known. coat may make it a bright future for some- The Count)' reports showed just how one. Many of these discharged patients will diffeient individual Auxiliary groups can be looking for employment. You may have be' Especially good were the reports from something you don’t wear anymore, but Spokane and Grays Harbor counties, two it’s too good for the rummage sale . . . vei y active Auxiliaries who really enjoy bring it along to Auxiliary meeting, and ^le'' mernbeiship. Ruth Brooke made a bring along that tired suit of your wondeiful impiession for Pierce county, husband’s. reporting on our successful open meeting D ,■ ,i i i , i in April when we invited the Dentists’ Before then we hope you all have your . T , . .. tickets and reservations for the Fall Fash- '™ ,eS and LaWyerS W1V6S t0 0ur ClVl1 ion Show on the 26th of this month. To re- De ense piogiam. , Dorothy Maier and Ruth Brooke have serve one of the best tables tor your partv, , , ' , 0 „ i ri j i ' been chosen to serve on the State Board send your check to Edith Lawrence now, it’s $3.00 per person. This is an excellent (Continued on Page 19) BULLETIN of the Pierce County M edical Society

in bacterial otitis media Panalba* promptly to gain precious therapeutic hours In the presence of bacterial infection, taking a culture to determine bacterial identity and sensitivity is desirable— but not always practical. A rational clinical alter­ native is to launch therapy at once with Panalba, the antibiotic that provides the best odds for success. Panalba is effective (in vitro) against 30 common pathogens, including the ubiquitous staph. Use of P a n a l b a from the outset (even pending laboratory results) can gain precious hours of effective antibiotic tre a tm e n t. SUPPLIED: Capsules, each containing Panmycin* Phosphate (tetracycline phosphate complex), equivalent to 230 m r. tetracycline hydrochloride, and 125 mg. Albamycin.* an novobio­ cin sodium, in bottles of 10 and 10 0 . USUAL AUUI.T DOSAGE: 1 or 2 cap- * day SIDE EFFECTS: Panmycin Phosphate li;is a very low order of toxicity com­ parable m llmt of the other tetracy­ clines and is well tolerated clinically. Side reactions to therapeutic use are infrequent and consist principally of mild nausea and abdominal cramps. Albamycin also has a relatively low order of toxicity. In a curtain few pnLieiiLs, a yellow pigment lias been found in the plasma. This plprment, apparently n metabolic by-product of the druti, is not necessarily associated with abnormal liver fund ion tests or liver enlargement. Urticaria and inaculopapular derma­ titis, and a few cases of leukopenia have been reported in patients treated with Albamycin. These .side effects usually disappear upon discontinu­ ance of the drug. CAUTION: Nlnco th e u se of any .-mU- biotit: may result in overgrowth of nonsuscepilbU! organisms, constant observation >>f the patients is essen­ tial. If new infections appear durinff therapy, appropriate measures should be ta k e n . Total and differential blond counts should be made routinely durlnr pro­ longed administration of Alliamyein. T he p o ssib ility of liv e r dimiaiTC should he coiiHiderei) if a yellow pigment, a metabolic l.y-product of Albamycin, appear? In the plasma. Panalba should be discontinued if allercic reactions that are not readily controlled by antihistnmlnlr agents develop. • T rad em ark , Re£T. U . S. P a t. Off.

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Pharmaceuticals & Biologicals. BULLETIN of the Pierce County M edical Society 21 contributed by the Pierce County physi­ Help! Doctor! Help! cians in two words: “It stinks!”. We need your help, doctor! We are Chlorophyl is that “green stuff” that students in medical schools, everywhere in eliminates bad odors. So, fellow physicians, the U.S.A. We need more classrooms, new let’s do better with that “green stufF” com­ equipment, better pay for our teachers! A monly known as money in $5, $10, or $20 lot of us wall need financial aid to finish bills or more during 1961 in donations to our schooling. Some of us may have to drop the A.M.E.F. out of school. The need is great! As E. Vin­ Please designate the school to which cent Askey, M.D., retiring American Medi­ your contributions are to be sent— your cal Association President puts it: “Today, Alma Mater will appreciate your generosity. the gap between the total cost of medical This is an appeal to the physicians of education and tuition paid by the medical Pierce County who have not donated to student is widening. Individual financial the A.M .E.F. to send their check of $5, $10, support of our medical schools is more im­ $15 or more. portant than ever, and it is up to us, the Please send your check today, payable physicians, to set an outstanding example to A.M .E.F. and mail to: of such support.” American Medical Education Foundation In 1960—only 326 physicians out of a 535 North Dearborn Street total of 2850 licensed practitioners from Chicago 10, Illinois Washington State contributed $14,200 to or the American Medical Education Fund— Washington State Medical Association and included in this $14,200 was the contri­ 1309 Seventh Avenue bution of $4,000 from the Women’s Aux­ Seattle 1, Washington iliary. W e sincerely thank them. or At the September Pierce County Medical F. M. Lyle, M.D., Chairman Society meeting, our erudite Secretary, A. Washington A.M.E.F. Herrmann, M.D., local representative on 381 Paulsen Medical & Dental Building the A.M.E.F. Committee of the State Asso­ Spokane, Washington ciation, succinctly commented on the sum The school you support may some day supply you with a well-trained assistant or (Continued from Page 19) future partner. it and says it’s really good to get away for This private support can forestall federal a week, you come back so refreshed! aid and controls. It is up to all physicians to forget their individual differences and Civil Defense Workshop unite as one, and help maintain our free­ A Civil Defense workshop which should dom, this democracy, and our republic. Let be of great interest to doctors’ wives will us show the rest of the State that our Pierce be held at Jackson Hall the second week County Physicians can lead the way! Re­ of October. member, “You can’t take it with you!”. The one-day course will include instruc­ —P.C.M.S. Education Committee tion and demonstrations of preparation of a fall-out shelter, the use of radiation de­ tection equipment, etc., and will be con­ ducted by Mrs. William Gadsby and Colo­ American College of nel Beech, former Director of Civil De­ fense for the Seattle area. Allergists The exact date of the workshop had not American College of Allergists Graduate been set at the time the Bulletin went to Instructional Course and Eighteenth An­ press but this and other information may nual Congress, April 1-6, 1962, Hotel Radis- be obtained by calling Mrs. Robert Burt, son, Minneapolis, Minnesota. For further JU 4-1813. Registration must be made in information, write to: John D. Gillaspie, advance and is limited to 30, so don’t M.D., Treasurer, 2141 14th Street, Boulder, delay. Colorado. 2 2 B U L L E T IN o f th e Pierce County M edical Society

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Resuscitator Service 1 Oxygen Equipped Electric Cot Warmers 1 1 Licensed Attendants 1 2 2 1 Tacoma Yellow Cab Co. 1 1324 MARKET STREET BULLETIN of the Pierce County M edical Society 23 These past few months brought many HOSPITALS... new changes in the Medical Record De­ partment but most important a brand new office. Five new students began the course St. Joseph’s for Medical Record Technicians on Sep­ X-ray’s new students are now more fam­ tember 6. They are Delores Knight, Gail iliar with the department and can find Hoban, Judy Pace, Betty Terhaar and their way around the hospital, especially Dianne Moore. when bringing patients to and from their W e are in die process of moving our old rooms. charts to the new file room just inside the We are very grateful to Sister Margaret back door on the first floor. W e hope to be Catherine for the many helps we received finished in another week. The charts from in our Nursing Procedures class. W e shall 1960 on will be filed under middle digit always endeavor to put them in practice. filing. This is the newest method of filing and is more practical than the terminal digit Within the department these young filing with which most of us are familiar. ladies are becoming very proficient in the processing of films and learning the chem­ When our remodeling is complete we icals that combine to make the solutions. plan to have open house to show oft our In the practice of taking x-rays, they were new department and in appreciation to all very glad to have the student nurses to who worked so hard to give us such an take their first on. The second year stu­ up-to-date office. dents are now showing their skills in the more advanced procedures and are also taking night call. Good Samaritan During the month of August we have Arnold W. Johansson, M.D., became the seen the completion of floor work in sec­ new president of the medical staff of Good ond floor south. All the rooms have now Samaritan Hospital at the staff quarterly had a new terrazzo floor installed and have dinner meeting in September. Fie succeeds been redecorated in pleasing pastel colors. Vincent M. Murphy, M.D. Other officers New furniture has been placed in the elected were: John Kanda, M.D., vice- private rooms and the balance of the two president, and Sidney Kase, M.D., secretary. bed rooms will soon have the new Hi-Lo On Friday, October 13, Good Samaritan beds and appropriate furniture installed. personnel will undergo an exercise in dis­ The housekeeping department has added aster preparedness. Just prior to 3 p.m. on new drapes to go with each color scheme that date, a mock catastrophe will occur. and altogether it makes a very pleasant The nature and extent will be disclosed room for the patients. with a telephone call to the hospital ap­ A fun-filled picnic was enjoyed by the proximately 10 minutes before the first cas­ students and faculty on July 26 at Point ualties arrive. Members of the Future Defiance Park. Then off they sailed for a Nurses Club at Puyallup High School will cruise on Commencement Bay on tire 23rd serve as victims. It is anticipated that the of August which brought a close to the disaster will involve a power failure, conse­ summer activities. quently, the hospital’s stand-by generator will furnish emergency power. Other ob­ Polished and shining, September 5, the stacles to hurdle will be a contaminated school of nursing greeted thirty-four new water supply and lack of telephone service. students embarking on their three year All phases of the hospital’s written plan journey to become professional nurses. will be practiced to test the plan’s sound­ Traveling from near and far the young ness and completeness. ladies come from the northwest and one student from the seemingly far off east coast for their education. PATRONIZE YOUR ADVERTISERS 24 B U L LE T IN of the Fierce County M edical Society

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HAMILTON OFFICE EQUIPMENT LIEBEL-FLARSHEIM DIATHERMY AND ELECTROSURGICAL EQUIPMENT C. R. BARD UROLOGICAL INSTRUMENTS BURDICK PHYSIO-THERAPY EQUIPMENT CAMBRIDGE ELECTROCARDIOGRAPHS WILMOT CASTLE STERILIZERS AND LIGHTS SKLAR, HASLAM AND LAWTON SURGICAL INSTRUMENTS 2 8 B U L L E T IN o f th e Pierce County M edical Society and will include a panel discussion on the ical Center in Germany for three years be­ same subject. Dr. Charles H. Best of Toron­ fore being assigned to the Pacific North­ to, co-discoverer of insulin, will present the west. closing lecture “Present and Future Re­ The general was commissioned in 1932 search Problems in Diabetes Mellitus.” after earning a Bachelor of Science and Accreditment: The American Academy M.D. degree from Indiana University. Dur­ of General Practice will give 19 hours of ing World War II he served in Europe; first Category II Credit for the Course. Regis­ as division surgeon of the 78th Infantry tration: The three-day Course is open to Division, and later as commander of the Doctors of Medicine. The fee is $40 for 112th Evacuation Hospital. members of the American Diabetes Asso­ Returning to the United States in May ciation and $75 for nonmembers. Social 1946, he was assigned as executive officer Activities: All registrants will be guests of of the medical section 5th US Army Head­ the Association at a Banquet to be held quarters in Chicago until 1947. Wednesday evening, January 17. This oc­ In 1949 he again returned to Europe casion will be preceded by a Social Hour where he was surgeon of the Frankfurt (by subscription). Military Post and later commandant of the Further Information: Additional data European Command Medical Field Serv­ and registration forms may be secured ice School in Bavaria. Upon his return to from: the United States in 1952, he was placed in American Diabetes Association command of the Medical Replacement 1 East 45th Street Training Center, Camp Pickett, Virginia. New York 17, New York In 1952 he was appointed surgeon of what is now known as Headquarters, Con­ tinental Army Command, serving in this capacity until reassigned to Europe and Meet General Crawford promoted to his present rank in 1958. General Crawford who participated in the Normandy, Northern France, Ardennes- Alsace, Central Europe and Rhineland cam­ paigns, has been decorted with the Legion of Merit, Bronze Star Medal with oak leaf cluster, French Croix de Guerre with palm, Czechoslovakian Military Medal of Valor and the Brasileria de Medicine Militar. Madigan's new commander holds a de­ gree of Master of Public Health from Har­ vard, and his professional affiliations in­ clude membership in the American Public Health Association as well as a Fellowship in the American Medical Association. General and Mrs. Crawford, she is the former Josephine L. Drury, have three Brigadier General John L. Crawford, a daughters: Mrs. Michael (Caroline) Blitch, veteran of 29 years of service in die Medi­ whose husband is associated with the Mas­ cal Corps, assumed command of Madigan sachusetts Institute of Technology; Lor­ General Hospital, July 17 replacing Colonel raine, who has just accepted a direct com­ William A. Todd, Jr., who has commanded mission in the Women’s Army Corps and the hospital since May when Brigadier Gen­ reports for duty at Fort McClellan, Ala­ eral George M. Powell left for his new bama, next month; and Marlene 14, who assignment as the head of Brooke General will make her home with her parents at Hospital, San Antonio, Texas. Fort Lewis. General Crawford commanded the 9th Hospital Center and Landstuhl Army Med­ PATRONIZE YOUR ADVERTISERS BULLETIN of the Pierce County M edical Society 2 9 eral Alumni Society Award of Merit, and Twelfth Annual an honorary Doctor of Laws. Strauss Lecture A native son of Pennsylvania, Dr. Rhoads was born in Philadelphia in 1907. He attended Haverford College, Pennsyl­ vania, receiving a B.A. in 192S. This was followed by the study of medicine at Johns Hopkins from which he received his M.D. degree in 1932. He was awarded a D.Sc. in Medicine from the University of Penn­ sylvania Graduate School of Medicine in 1940. Dr. Rhoads’ subsequent training was taken at the University of Pennsylvania, School of Medicine and at the Hospital of the University of Pennsylvania. Following his internship and residency, he joined the staff of the University of Pennsylvania School of Medicine. His academic and pro­ fessional career has been characterized by a rapid and impressive growth of suc­ The Department of Surgery, University cessively higher rank and stature. He was of Washington, sponsor of the Annual Al­ appointed the J. William White Professor fred A. Strauss Lecture, takes particular of Surgical Research in the University of pride in announcing the Twelfth Annual Pennsylvania School of Medicine in 1949. Lecture guest speaker, the eminent Phila­ He was Professor of Surgery and Surgical delphia surgeon, Dr. Jonathan E. Rhoads. Research in 1951, and was appointed Chair­ The Strauss Lecture, in itself an institu­ man of the Department of Surgery of the tion of growing renown, will be held this Hospital of the University of Pennsylvania year on November 3, 8:15 p.m., in the in 1959. In the same year he assumed the Health Sciences Auditorium at the Uni­ noted John Rhea Barton Chair of Surgery. versity of Washington, School of Medicine. Dr. Rhoads is a member of the Phi Beta Former Provost of the University of Kappa, Alpha Omega Alpha, the Philadel­ Pennsylvania, and presently die John Rhea phia Academy of Surgery, The American Barton Professor of Surgery at the Uni­ Surgical Association, The International versity of Pennsylvania, Dr. Jonathan E. Society of Surgery, and numerous other Rhoads wall address the Strauss Lecture medical and scientific societies. He is a audience on “The Growth of Preventive former Governor of die American College Surgery in the Field of Cancer”. Dr. of Surgeons and is a past-president of The Rhoads has long pursued, with intense International Surgical Group. interest, die study of the role of surgery in As ail executive member of the National the field of cancer, and he has received Research Council, he has rendered distin­ many honors in that area of endeavor. guished service to that organization and to He has also attained prominent recogni­ numerous other civic activities. He is a tion for his singular work in the fields of Board Member of the American Cancer Nutrition of Surgical Patients; Physiological Society, Philadelphia Division, and a Dele­ Factors Regulating the Level of Prothrom­ gate member to the National Society. bin; Factors Affecting Adhesion Formation; Dr. Rhoads is currently serving on the and Penicillin and Other Antibiotics. Editorial Board of the Annals of Surgery. In 1957 he was the single recipient of He has made significant contributions to the American Cancer Society Award for medical literature, including his work as a Distinguished Service in Cancer Control. co-editor widi Dr. Henry Harkins of the In 1960, the University of Pennsylvania be­ new edition of the textbook, S u h c ery, stowed upon him its much-coveted Gen­ P r in c ip l e s and P r a c t ic e . 30 B U L L E T IN of the P ie r c e C o u n t y M e d ic a l S o c ie t y Classified Advertising FOR SALE BY OWNERS REAL CHOICE HOOD CANAL WATERFRONT OR BACK LOTS—located on a beautiful point, fine pea gravel beach; private com­ munity launching ramp; dock with float; private lodge and shop. SELECT YOUR LOT NOW AT WINTER PRICES WITH AL­ MOST ANY TERMS. . . . CALL OR PHARMACY WRITE Dr. C. 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MONTHLY MEETINGS STAFF OF DOCTORS HOSPITAL OF TACOMA Second Monday of March, June, Sept., Dec.—7:30 p.m. Auditorium of Medical Arts Bldg. STAFF OF GOOD SAMARITAN Second Monday of March, June, Sept., Dec.—6:30 p.m. STAFF OF NORTHERN PACIFIC Second Monday of each month—noon. STAFF OF ST. JOSEPH'S Third Monday of March, June. Sept.. Dec.— 6:15 p.m. STAFF OF MOUNTAIN VIEW GENERAL HOSPITAL Last Monday of February, June September and November TACOMA ACADEMY OF PSYCHIATRISTS and NEUROLOGISTS First Tuesday of each month—8:30 p.m. Board Room of Pierce County Medical Society PIERCE COUNTY MEDICAL SOCIETY Second Tuesday of the month except June, July & August — 8:15 p.m. STAFF OF TACOMA GENERAL First Tuesday of March, June, Sept., Dec.—6:30 p.m. TACOMA SURGICAL CLUB Third Tuesday of each month—6:30 p.m. at Tacoma Club TACOMA ACADEMY OF INTERNAL MEDICINE Fourth Tuesday of each month—6 p.m. at Tacoma Club TACOMA ACADEMY OF GENERAL PRACTICE Fourth Monday of each month except June, July & August —6:30 p.m. at Honan's PIERCE COUNTY PEDIATRIC SOCIETY First Thursday of each month except June, July and August STAFF OF MEDICAL ARTS HOSPITAL Third Friday of March, June, Sept., Dec.—7:15 a.m. at New Yorker Cafe STAFF OF MARY BRIDGE CHILDREN'S HOSPITAL Fourth Friday of March, June, Sept., Dec.— 12:15 p.m. IUILLETIN PIERCE COUNTY MEDICAL SOCIETY 2 BU LLETIN o f th e Pierce County M edical Society Pierce County Medical Society 1961 OFFICERS President —...... Chris C. Reynolds P resid ent-E lect ...... G . M arshall W hitacre Vice-President ...... Robert M. Ferguson Hap-py birth - day Secretary-Treasurer ______Arnold J. Herrmann Executive Secretary ______-Judy Gordon

TRUSTEES Glenn H. Brokaw Chris C. Reynolds Dale D. Doherty Cyril B. Ritchie Happy Birthday Robert M. Ferguson Frederick J. Schwind Arnold J. Herrmann John M. Shaw George S. Kittredge Stanley W. Tuell NOVEMBER Robert W. Osborne G. Marshall Whitacre D E L E G A T E S l CHARLES KEMP Douglas P. Buttorff George S. Kittredge Arnold J. Herrmann Stanley W. Tuell Herman S. Judd Wayne W. Zimmerman 3 CARL GRANQUIST ALTERNATE DELEGATES J. HUGH KALKUS Charles R. Bogue Robert W. Florence Glenn H. Brokaw Glenn G. McBride GEORGE MOOSEY Robert M. Ferguson Frederick J. Schwind

COMMITTEES 5 WILLIAM BROWN E thics Miles Parrott, Chairman 6 SHERMAN PINTO Haskel L. Maier William H. Goering G rievance Cyril B. Ritchie, Chairman 8 WAYNE ZIMMERMAN J. W. Bowen, Jr. Herman S. Judd Program Robert C. Johnson, Chairman 9 BERNICE HAZEN Robert A. O'Connell Buel L. Sever L ibrary 11 KENNETH STURDEVANT S. Robert Lantiere, Chairman Edmund Deming Haskel L. Maier tudley W. Houtz John F. Steele 13 DALE DOHERTY Public Health Max S. Thomas, Chairman PAUL GERSTMANN Charles McGill George A. Tanbara Public Relations Robert M. Ferguson, Chairman 14 THOMAS CLARK Kenneth E. Gross John M. Shaw Arnold J. Herrmann George A. Tanbara KIYOAKY HORI Arthur P. Wickstrom House and Attendance 16 GALEN HOOVER William E. Avery, Chairman Eugene Hanson Haskel L. Maier Civil Disaster 17 T. R. HALEY David T. Hellyer, Chairman Richard B. Link Leo F. Sulkosky John M. Shaw Arthur P. Wickstrom 18 G. M. W HITACRE T. R. Haley Charles E. Kemp D iabetes 19 Edwin J. Fairboum, Chairman CALVIN LANTZ Frank W. Hennings John S. May Entertainment 2 0 JOSEPH BENSON Samuel E. Adams, Chairman L. S. Durkin Robert M. Ferguson Robert A. Kallsen 22 EDWARD EYLANDER Geriatrics John F. Comfort, Chairman JOHN SHAW William P. Hausor William McPhee Leonard Morley 24 Legislative JOHN ALGER Wayne W. Zimmerman, Chairman Douglas P. Buttorff Charles C. Reberger DALE HADF1ELD John M. Shaw Medical Education 25 WILLIAM McPHEE Elmer W. Wahlberg, Chairman Glenn H. Brokaw Clinton A. Piper Schools 26 T. J. SMITH R. A. Norton, Chairman Theodore Apa George S. Kittredge Orvis A. Harrelaon Jack W. Mandeville 29 JOHN COLEN George A. Tanbara TraiHc and Safety WILLIAM RADEMAKER Albert Ehrlich, Chairman Mental Health 30 THOMAS SMEALL William H. Todd, Chairman James W. Boudwin Hugo Van Dooren Bulletin Staff Editor Stanley W. Tuell Business Manager ...... Judy Gordon PATRONIZE YOUR ADVERTISERS Auxiliary News Editor...... Mrs. Robert A. Kallsen

BULLETIN of the Pierce County M edical Society

REGULAR MEETING

PIERCE COUNTY MEDICAL SOCIETY Tuesday, November 14

M EETING . . . 8:15 P.M.

MEDICAL ARTS BUILDING AUDITORIUM

# * * £

PROGRAM

CHARLES P. LARSON, M.D. “Boxing and Wrestling”

E R N EST A. AGER, M.D. Head, Communicable Disease Control Washington State Department of Health “Polio Vaccine . . . Sabin and/or Salk”

* # * *

A no-host social hour and dinner will precede the meeting Social Hour: 6:00 Dinner: 6:45 Place: Honan’s Restaurant 739V2 St. Helens Ave. 6 BU LLETIN o f th e Pierce County M edical Society

November Calendar of Meetings

MONDAYTUESDAY WEDNESDAY THURSDAY FRIDAY

1 2 3

Pierce County C.P.C. of St. Pediatric Society Joseph’s— 9 a.m.

C.P.C. of Tacoma General— 8:30 a.m.

6 7 8 9 10

Tacoma Acad, of Psych. & Neurol. C.P.C. of St. 8 :3 0 p.m. C.P.C. of Tacoma Joseph's— 9 a.m. General— 8:30 a.m. C.P.C. of Mary Bridge— 8 a.m.

13 14 15 16 17

Pierce County C .P .C . of St. M edical Society Joseph’s— 9 a.m. 8 :1 5 P.M. C.P.C. of Tacoma General— 8:30 a.m. P.C.M.B. Board C.P.C. of Mary 8 :0 0 p.m. Bridge— 8 a.m.

20 21 22 23 24

Tacoma Surgical C.P.C. of St. Club—6:30 p.m. HAPPY Joseph’s— 9 a.m.

C.P.C. of Mary THANKSGIVING Bridge— 8 a.m.

27 28 29 30

Tacoma Academy of General Practice Tacoma Academy C.P.C. of Tacoma 6 :3 0 p.m. of Internal General— 8:30 a.m. Medicine 6 :0 0 p.m.

Grand Rounds— Mt. View General Hospital— Every Saturday 8:30 to 10:00 a.m.

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23 24

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Gr0Und M°S«1Cen,er 8 B U LLETIN of the Pierce County M edical Society

Be sure to watch . . .

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when the Pierce County Medical Society

presents "ASK YOUR DOCTOR”

Subjects discussed this month will be . . .

November 5 Glaucoma

November 12 Diseases of the Colon

November 19 Herniated Discs

November 26 Alcoholism BULLETIN of the Pierce County M edical Society 9

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Write for Sample PACIFIC PAPER PRODUCTS, INC. and Information 1015 SOUTH 12th ST. • TACOMA 5, WASHINGTON • U.S.A. 1 0 BU LLETIN o f th e Fierce County Medical Society chemists and bacteriologists with doc­ Resolution Concerning toral degrees to work cooperatively with Laboratory Supervision physicians for the welfare of patients and in the interest of public health; and Adopted by A.M.A. Whereas, The independent practice of During the recent American Medical laboratory medicine, generally known as Association meeting in New York the pathology, by persons without medical following resolution was endorsed licensure degrades the practice of medi­ unanimously by the Reference Commit­ cine and of pathology in particular, is tee on Miscellaneous Business, Kenneth against the public interest and seriously C. Sawyer, M.D., Chairman, and passed lowers the medical and scientific stand­ without dissent by the House of ards of medical practice; and Delegates. Whereas, The continued operation of Subject: Laboratories Should be commercial medical laboratories oper­ Supervised by Qualified, Licensed ated by unqualified persons is not pos­ Physicians. sible without the patronage of the medi­ cal profession; and Whereas, The practice of pathology, both clinical and anatomical, has been Whereas, The medical profession gen­ declared repeatedly to be the practice of erally has always placed the common medicine by the A.M.A., by the Illinois good above self interest and has adhered State Medical Society, by other state to ethical and moral principles; there­ and county medical societies, by the fore be it College of American Pathologists, and R esolv ed , That the American Medical other special professional societies, by Association hereby declares that the courts of record having certain legal proper conduct of laboratory analyses is jurisdictions, and by opinions of record a medical professional responsibility of attorneys general of certain states; and all specimens for such analysis and should be referred to laboratories super­ Whereas, There are medical labora­ vised by fully qualified and licensed tory technicians and other non-profes­ physicians. sional persons operating independent medical laboratories on a commercial basis without medical licensure, with­ New Editor . . . out adequate education or training, and without proper professional supervision; With this issue of the Bulletin, the and editorship of Dr. Charles C. Reberger Whereas, Persons operating such com­ comes to a close. Dr. Reberger has been mercial laboratories are not constrained our editor since October, 1960, and he by law or by their education and train­ has done much research and put in ing to adhere to professional ethical many hours writing and assembling principles guarding the public interest; material for the Bulletin. It is with and regret that I have accepted his resignation. Whereas, Such commercial labora­ tories frequently charge fees to physi­ However, I am happy to announce cians under conditions fostering the that Dr. Stanley Tuell has agreed to division of fees between the laboratory become the Bulletin editor and will take and the referring physician; and over in that capacity immediately.

Whereas, It is desirable to encourage C h r is C . R e y n o l d s , M.D. scientists of professional status, such as P resid en t 12 B U L L E T I N o f th e Pierce County M edical Society

cided upon to have a report by a mem­ HOSPITALS. . . ber of the staff at each of these meet­ ings on topics pertinent to all. Our meetings then will be adjourned with St. Joseph’s a short social celebrating the birthdays of the staff during the month. Our meet­ Excited and somewhat nervous, the ings have proved to be worthwhile and members of the class of ’64 began their beneficial to each of the staff. first year at St. Joseph Hospital School of Nursing. After a three-week orienta­ Record Room News tion, the preclinicals began learning chemistry equation, microbiology terms, Our departmental director, Sister and basic procedures, and memorizing Mary Emmanuel once more has her feet sociology definitions and anatomy fac­ upon the ground after returning from tors. This active class planned the the Medical Record Librarians conven­ decorations for the school’s Halloween tion held in Philadelphia this October. Dance on October 27 and is also making Sister Emmanuel arrived home with plans for their semiformal dances. new ideas for improving her depart­ ment’s efficiency and usefulness in the A very fortunate preclinical is Judy hospital. Home, who has just recently been awarded a $530 scholarship from the One of the many interesting aspects Nurses’ Guild. Because of her intellec­ of the trip was the opportunity to tour tual ability and her other admirable some of Philadelphia’s many historic qualities as a student nurse, Miss Horne spots with her fellow colleague and received this special honor. friend Sister Peter Olivaint from Provi­ dence Hospital in Seattle. Sister Martha Joseph and Sister Maria Magdala attended a meeting on curricu­ All of us are truly glad that Sister’s lum development in Salt Lake City on trip proved to be such an educational October 12 and 13. and enjoyable one.

Mrs. Moe and Mrs. Smith attended After a few months of orientation, a meeting October 10 in Olympia con­ our Medical Record Technician students cerning the interpretive rule on the are now right at home in their new Definition of Nursing Aids as applied surroundings. to student work for hire. There are few idle moments in the life of our students since equal time is Pediatric News given to acquiring skills and the knowl­ Our intradepartmental meetings are edge needed to practice their chosen once again in full swing following the profession. Several hours each day are summer vacations. The first meeting spent in the medical record office where was held on September 19 at which time our students’ services are quickly util­ Mrs. M. Joselin was voted the recording ized, learning and helping with the secretary for the year. It was also voted daily discharge and admission proced­ on to place a question and suggestion ures. When not hard at work, our stu­ box in the department for the benefit of dents may be found in class where such the personnel and the department. Such subjects, as Anatomy, Medical Termin­ questions and suggestions will then be ology and Medical Record Science are answered and discussed at each follow­ being taught. ing monthly meeting. It was also de­ (Continued on Page 14) BULLETIN of the Pierce County M edical Society 13

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Providing Fine Funeral Services Since 1905 717-719 Tac. Ave. So. Phone MA 7-7745 14 BU LLETIN of the Pierce County M edical Society (Continued from Page 12) Rapid Reading Course Maintenance Department A course in rapid reading, designed to Today we have completed the laying increase reading speed 3 to 5 times, of terrazzo floors in Five Hall on second will be offered in Tacoma this Fall by floor. Rooms 224, 227 and 229 were the Reading Dynamics Institute. laid at the same time and we hope to The first session of the 12-week have this entire wing completely painted course will be held on November 17th. and back in service before the end of Classes, which are limited to 30, will the month. There remains only one be held in the Broadway Theater Build­ class room and one nurses’ lounge to be ing at 9:30 a.m., 4 p.m. and 7 p.m. and terrazzed in order to complete the sec­ are to be attended one day each week ond floor. Eventually we plan to com­ (Friday) at the assigned time for 2% plete the rooms on the other floors as hours. A complete course is a minimum the time and funds permit. of 30 hours of instruction. Cost of the course is $150. Classified Advertising If you would like further information, call the Medical Society Office or write FOR SALE BY OWNERS to; Reading Dynamics Institute, 506 REAL CHOICE HOOD CANAL WATERFRONT Security Building, Seattle, Wash. OR BACK LOTS—located on a beautiful point, fine pea gravel beach; private com­ munity launching ramp; dock with float; j! private lodge and shop. SELECT YOUR LOT NOW AT WINTER PRICES WITH AL­ MOST ANY TERMS. . . . CALL OR WRITE Dr. C. Russell Perkins, Office, SK 2-4228; Home, SK 2-8123; 2613 No. 21st, Tacoma, Washington. FIRST NATIONAL

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Who'll get the LION’S SUES of your estate ?

Unless you have a W ill, State law decides who gets what portions of your estate . .. If you are married, your wife and children share as the law directs—not as you could direct. Relatives you never saw may receive more than those you know best. Friends or charities get nothing, regardless of your intentions. Whether you have put aside a little money or a lot, you need an up-to-date W ill. Get together with your attorney and with us. Phone today.

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MEMBER FEDERAL DEPOSIT INSURANCE CORPORATION 16______B U L L E T I N o f the Pierce County Medical Society ______WOMAN’S AUXILIARY

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AUXILIARY OFFICERS— 1961-62 to meet this charming woman, who president _ Mrs. Kenneth e. Gross insisted we all looked so young, but the nt ------MrMrs“ £ cJnTey reverse was closer to the truth. Mrs. 5?dv?^pre“ iW ta B li Schaeffer commented gently upon the ...... Mrs. Dudi°alwDHou^ importance of Auxiliary, as being the & r e r nd“8 Seoretary...... T.M"'JteiL^'iliSS one club which exists solely to further Assistant Treasurer ...... Mrs. Glenn H. Brokaw ^ husban(J’s professional interests. COMMITTEE CHAIRMEN 1 Educntion Mrs. Elmer w. Wahibe.g It was announced at the m eeting that C M S t o t cs!!t Wibby BischofFs Nurse Recruitment Legislative .1...... I t a S d E 0'’Adams committee had met to discuss whether Membership ...... Mrs. Galen H. H^ver^and Qr not the nurse reCruitm ent program FarlnuilS"1:"'::1. .. 7. . : . m«. u Z n a !s°b“ should be continued, and decided that pSS- : . Mr*. Robert V S the future nurses clubs that had been ...... ~ a ; *&tad"F. i r r S l active will continue with the sam e spon- ! S - ...... — sors as last year, other schools will have Speakers Bureau ...... to find outside sponsorship. Evidently T^rH^tiT"“3 Z 7 Z ;r:-V i» o ^ the girls who are reaUy potential nurses Minute women...... Mrs. Geor^ a. jittce^anci are not necessarily the ones who join Community Service^------Mrs^Edwwd R Andmon these Clubs aS afterSChOOl activity. Coil- F?mm« """...... ^Mrs Jj Rotert Brooke versely, membership in a future nurses Danc”’mity ^0uncii Mrs^'joh^'s' May'and does not seem to inspire the girls FaTonMaE^M^ H t0 §° int° nUTSing. Mrs. Russel) Q. Colley Cook Book ______Mrs. Thomas B. Murphy and Mrs. Robert a. O'Connell How Will You Have Your Medicine?

. , If you hadn’t been aware of our The November meeting at noon the T • 1 • 1 ^ -n , b T Legislative Chairman before, you will 17th will be a luncheon at Billie Jean » ■ r , , , , „ , „ certainly know we have one now. Attrac- Murphy s home. State Auxiliary Presi- T • a j i ^ u j . tive Lorraine Adams, a regular firebrand dent Mrs. Donald Evans will make her , , . . . , . , with her red hair and signal-type green annual visit then. . •i.-i-i eyes, insists that it is our responsibility The October meeting at Maybelle to educate ourselves politically, we Miller’s home on Lake Steilacoom was should know what is going on in gov- not distinguished by large attendance, ernment and we should take up think- but Maybelle’s home proved to be so ing. Lorraine performs a real service, easy to find and the meeting itself was adds spice to the conservative view, her so enjoyable it was the membership’s authorities running the gambit from loss. Program chairman Marge Wicks Jack Paar to the diety. Among other provided a wonderful short entertain- things she acquainted the membership ment by Kit Carson, director of the Little with the medical profession’s new lobby. Theater. This was too good to have been AMPAC, the American Medical Political missed by any of the members. Action Committee, formed along the Mrs. Ralph Schaeffer, Auxiliary’s first aS C0PE’ the ,11abor lobby’ President, was honored guest at October ^M* AC/ S non;Pa/ tlsa,r wl11 °Pe]'ate on meeting in celebration of our thirtieth funds donated interested doctors, year as an organization. It was an honor (Continued on Page 19) in bacteriaf otitis media Panalba' promptly to gain precious therapeutic hours In the presence of bacterial infection, taking a culture to determine bacterial identity and sensitivity is desirable— but not always practical. A rational clinical alter­ native is to launch therapy at once with Panalba, the antibiotic that provides the best odds for success. Panalba is effective (in vitro) against 30 common pathogens, including the ubiquitous staph. Use of P a n a lb a from the outset (even pending laboratory results) can gain precious hours of effective antibiotic treatm ent.

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(Continued from Page 19) Newsasthenia successful completion in a way reflects The Wendell Petersons and Robert well on all doctor’s wives. Florences attended an orthopedic meet­ ing in Dallas last month. The Petersons took in Los Angeles on the way to the What's Cooking meeting, the Florences visited in Okla­ Every physician’s wife in the county. homa City and New Orleans after the Auxiliary member or not, is being con­ meeting. tacted by the Cook Book committee for Billie Murphy spent a week in Port­ her three favorite recipes. This ambi­ land at the horse shows last month, tious committee hopes to have its work missed sailing her Davidson dinghy at the yacht club on the day she returned. done by the end of this month. The idea Dee Wickstrom, who also skippers one is being enthusiastically received and of those neat small sailboats, turned recipes are coming in. out in spite of the gusty wet cold day. Ruth Houtz crewed on another boat in Excellency is not the requirement. If that race, and Chris Kanar crewed their you’re admittedly a mediocre cook, send Sea Scouter. your favorites in anyway. The sales ap­ Overlooked in the back-to-school line­ peal of the book is based on a recipe up last month were two very important sent in by you, whether or not it's edible. Medical Students at the U. in Seattle, the McGill boys .Edith, unsuccessfully The Book will be illustrated by De- trying to mask great pride, said she lores Havlina, Ruth Houtz, and Beth didn’t know how long they would be Hennings. there.

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Free Prescription Delivery BULLETIN of the Pierce County M jedjcal Society 2 3 The American Medical Technologists Letter to the Editor has for 22 year's registered top quality Dr. Charles C. Reberger, Editor medical technologists who are enthusi­ Bulletin of the Pierce County Medical astic in their support of a self-governed Society registry. Both the Washington State Tacoma, Washington Society and the Oregon State Society of the American Medical Technologists are Dear Doctor Reberger: composed of such registrants. They are Although the 11,000 members of the a credit to their national registry and American Medical Technologists ap­ to the field of medical technology. preciate your devoting three pages of Professor Charles E. Martin, M.T., the “Bulletin of the Pierce County Medi­ DABB-A, whose recognition as a diplo- cal Society” to the organization, we must mate in microbiology by the American ask that you “spell the name right.” Board of Bio-Analysts . . . is a man It is not the Society of American who embodies the finest principles of Medical Technologists, but rather the the A.M.T. He is a highly trained medi­ American Medical Technologists, that cal technologist of long experience, a was chartered under New Jersey law in respected educator, and an outstanding 1939 and registered in Washington, official of the American Medical D.C. The designation M.T. is legally Technologists. reserved as the official title to be dis­ While Professor Martin received the played only after the names of medical certificate as diplomate in microbiology technologists registered with the Ameri­ prior to an A.M.T. meeting, the certifi­ can Medical Technologists. cation was not granted by the A.M.T., One might question your reference but by the American Board of Bio- to the A.M.T. “tagging along,” since as Analysts, which maintains offices at you correctly point out, the American 5057 N. Tripp Ave.. Chicago 30, with Medical Technologists is not organiza­ A. Stephan Michaelson. Ph.D., as tionally “joined with the American secretary. Medical Association.” Such joining Terrance B. Quarton, Ph.D., long would be an undesirable monopoly. respected as a member of the American A working identification with the Medical Technologists and a diplomate medical profession is, of course, inher­ of the American Board of Bio-Analysts, ent in the field of medical technology in presented the certificate. We add our that medical technologists perform tests congratulations to the many that Pro­ for the purpose of presenting resultant fessor Martin has received on his con­ findings to physicians. Registrants of tinued advancement in his chosen field. the American Medical Technologists, in Sincerely yours, support of a Code of Ethics consistent with that of the medical profession, A m e r i c a n M e d i c a l T echnologists have the highest respect for this working E. W. Williams, Ph.D. relationship. Executive Secretary Organizational autonomy, however, is a principle in which the A.M.T. regis­ Although alcohol had been a part oi' trants take justifiable pride. They quite human culture since prehistoric times, logically hold that professional inter­ it is generally recognized that an Arab relationship need not be synonomous alchemist, Jabir ibn Havyan, was the with organizational interrelationship. first to distill alcohol about 800 A.D. 2 4 B U L L E T I N o f the Fierce County Medical Society

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Plan now to attend the A.M.A. Clinical Session in Denver, November 27-30. 2 6 BU LLETIN o f th e Piebce County M edical Society

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HAMILTON OFFICE EQUIPMENT LIEBEL-FLARSHEIM DIATHERMY AND ELECTROSURGICAL EQUIPMENT C. R. BARD UROLOGICAL INSTRUMENTS BURDICK PHYSIO-THERAPY EQUIPMENT CAMBRIDGE ELECTROCARDIOGRAPHS WILMOT CASTLE STERILIZERS AND LIGHTS SKLAR, HASLAM AND LAWTON SURGICAL INSTRUMENTS 28 BU LLETIN of the Fierce County M edical Society duction pressure at this level takes place competent. Eight ,when the relation of as an integral part of the act of swal­ the parts is disturbed, as in a hernia, lowing. The initial reflex of swallowing the cardia becomes incompetent. At this which is stimulated when food touches point I would just likfi tp digress for a the part of the pharynx carries with it m om ent to say that we slhould not, in simultaneous relaxation of this area of any circumstances, allow our diagnosis the diaphragm. Fourthly, when we swal­ of a sliding hiatal hernia to be de­ low we close our glottis for very obvious pendent on the radiologists ability to reasons. And when you close your glottis demonstrate a hernia. We should take you relax your breathing, your breath­ due regard to his ability to demonstrate ing muscles become relaxed. Now, a lot regurgitation but not to demonstrate a of people will suggest that when you mass of barium which he says is the breathe in and hold your breath that stomach. This is of no clinical import­ your muscles are in a state of inspira­ ance at all and this applies whether we tion. But most people when they breathe are seeing our cases for diagnosis in the in and hold their breath, as soon as first place or whether we are checking they have got enough breath and they up our results afterwards. Nine, we can close their glottis and then their muscles make our cardia incompetent voluntar­ go into an expiratory relaxation, so posi­ ily as in belching or vomiting and some tion of the muscles is in expiration people are more expert at this than though the position of the lungs is in others. Ten, incompetence sometimes inspiration. This obviously is associated occurs unwillingly when we assume a with a relaxation of the crus of the dia­ slouching position and I imagine that phragm. These things can be confirmed there may be doctors here who had a radiologically. There is an immediate fair amount of brandy the night before relaxation and if we swallow something and feeling a little liverish, feel all right that is very very fluid it passes straight after they have had a little breakfast but through into the stomach. If on the when they get into their car in a slouch­ other hand we swallow something which ed position and have to drive a long way is solid the relaxation may take place with tight belts, feel a nasty burning at the time when nothing is going down pain behind the sternum and have to get that can go through and this area may out to take a Bisodol on the walk along close down again. But the peristaltic the verge. This is incompetence of the wave, as it comes down, will then usu­ cardia with esophagitis. We all have in­ ally be sufficient to open it up again. competence but it doesn’t burn us unless Not only can we confirm these things we have maltreated our esophageal mu­ radiologically but with esophagoscopv cus membrane the night before. Eleven, we find a length of resistance at this competence can be completely restored level asosciated with a deviation of the by the replacement of the organs in esophagus. Seven, when the parts are their proper position. Twelve, if you in their normal relation the cardia is make a savage cut across those fibers of the right crus of the diaphragm which come around the left side of the esopha­ DAMMEIER gus, the cardia becomes incompetent. I can’t claim to have done this but I have Printing Co. had the problem of having to stitch up one where somebody else had done it. BRoadway 2-8303 Thirteen, competence is restored if the 811 Pacific Ave. Tacoma diaphragm has been so injured, is neat­ ly and accurately sutured back and re­ BULLETIN of the Pierce County M edicai. Society 2 9 tains its function. Fourteen, if you do a making the cardia incompetent. That if Heller’s operation, a myotomy of the you don’t continue a very adequate lower end of the esophagus just going aspiration you get reflux of gastric over onto the stomach which is used for juices around the tube into the esopha­ carrying cardiospasm you do not get gus and that you may get an esophageal incompetence of the cardia. And I say stenosis afterwards. Sixteen, incompe­ this with some conviction, knowing that tence occurs in debilitated and coma­ many people have had incompetence tose people and those people lying on after Heller’s operation and had bad their back for any length of time may esophagitis and these have been re­ easily get severe esophageal stenosis. ported in the literature. But if this is Whatever all these sixteen facts add up done properly and if it is done in the to, I think it does at all events impress absence of other changes of the hiatus upon us the need to respect and try to such as the sliding hiatal hernia, or if a restore the normal anatomy in a sliding sliding hiatal hernia is present and is hiatal hernia. After all sliding hiatal her­ properly reduced at the time of opera­ nia is a simple mechanical derange­ tion you do not get incompetence and ment of the body but may give rise to you do not get reflux into the esophagus. severe functional results and in dealing Fifteen, the cardia becomes incompe­ with it we should be simple and humble tent if you leave a tube in it and I put people and deal with it in a simple way. that in really as a sly thrust perhaps, We should not try to improve on nature but I think it is important that all of and lose our faith by doing complicated you who are keen on leaving ubes in the things like gastric resections, vagus re­ stomach should realize that you are sections and so on in the uncomplicated

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LEDERLE LABORATORIES, a Division of AMERICAN CYANAMID COMPANY, Pearl River, New York i 31) BU LLETIN o f the Pierce County Medical Society cases. Now having put the caxdia in his Recently Seattle’s Lucius Hill and right position in relation to the dia­ associates have presented what perhaps phragm, if the diaphragm is good there is the greatest advancement in scientific may be no need to do anything else at evaluation of hiatus hernia. Using all. In the same way, as in a small child esophageal ph and pressure studies, ac­ with good abdominal muscles, we may curate surgical, postoperative and recur­ excise an inguinal hemia sac and leave rent evaluation of hiatu shernia can be the muscles to come back into position made. and take charge of it. A few people, I would imagine, would dream of putting I am for a government that is rigor­ a lot of stitches through the lovely ously frugal and simple, and not for one muscle which guards the inguinal canal that multiplies offices to make partisans, in a child of that sort. In the same way, that is, to get votes, and by every device in the adult, occasionally you get such increases the public debt under the good diaphragms that you needn’t put guise of being a public benefit. any more stitches in it.” —T h o m a s J e f f e r s o n When asked the question, which is the best method of repair, trans-abdom- NEW ADDRESSES inally or trans-thoracically, Mr. Allison answered, “The surgeon should do the Dr. Donald F. McKay has opened a procedure which ever way he feels most second office, the Summit View Medical comfortable. I have never done one Clinic, at 11019 Canyon Road. trans-abdominally.” He admitted a 10% Dr. Arthur P. O’Leary is now located recurrence in his hands by the trans- at the Tacoma Medical Center, Build­ thoracic route. ing No. 37.

C w fiif AMfcoJ Mnpniifw C r t f BULLETIN of the Pierce County M edical Society 31

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CauriMf MtJlml t iiitty Magazine G rou p Pierce County Medical Society BULK RATE Medical Arts Building Tacoma 2, Washington U. S. POSTAGE PAID TACOMA, WASH. PERMIT No. 300

MONTHLY MEETINGS STAFF OF DOCTORS HOSPITAL OF TACOMA Second Monday of March, June, Sept., Dec.—7:30 p.m. Auditorium of Medical Arts Bldg. STAFF OF GOOD SAMARITAN Second Monday of March, June, Sept., Dec.—6:30 p.m. STAFF OF NORTHERN PACIFIC Second Monday of each month—noon. STAFF OF ST. JOSEPH'S Third Monday of March, June, Sept., Dec.— 6:15 p.m. STAFF OF MOUNTAIN VIEW GENERAL HOSPITAL Last Monday of February, June September and November TACOMA ACADEMY OF PSYCHIATRISTS and NEUROLOGISTS First Tuesday of each month—8:30 p.m. Board Room of Pierce County Medical Society PIERCE COUNTY MEDICAL SOCIETY Second Tuesday of the month except June, July & August — 8:15 p.m. STAFF OF TACOMA GENERAL First Tuesday of March, June, Sept., Dec.— 6:30 p.m. TACOMA SURGICAL CLUB Third Tuesday of each month—6:30 p.m. at Tacoma Club TACOMA ACADEMY OF INTERNAL MEDICINE Fourth Tuesday of each month— 6 p.m. at Tacoma Club TACOMA ACADEMY OF GENERAL PRACTICE Fourth Monday of each month except June, July & August —6:30 p.m. at Honan's PIERCE COUNTY PEDIATRIC SOCIETY First Thursday of each month except June, July and Auqust STAFF OF MEDICAL ARTS HOSPITAL Third Friday of March, June, Sept., Dec.—7:15 a.m. at New Yorker Cafe STAFF OF MARY BRIDGE CHILDREN'S HOSPITAL Fourth Friday of March, June, Sept., Dec 12:15 p.m. BULLETIN PIERCE COUNTY MEDICAL. SOCIETY 2 BU LLETIN o f th e Pierce County Medical Society Pierce County Medical Society C 1961 OFFICERS « — :— P resident ...... Chris C. Reynolds President-Elect ...... G. Marshall Whitacre Vice-President ...... Robert M. Ferguson Hap- py birth - day Secretaxy-Treasurer...... Arnold J. Herrmann to you, Executive Secretary...... Judy Gordon

TRUSTEES Glenn H. Brokaw Chris C. Reynolds Dale D. Doherty Cyril B. Ritchie Happy Birthday Robert M. Ferguson Frederick J. Schwind Arnold J. Herrmann John M. Shaw George S. Kittredge Stanley W. Tuell Robert W. Osborne G. Marshall Whitacre D ecem ber D E L E G A T E S Douglas P. Buttorff George S. Kittredge 1 DAVID S. HOPKINS Arnold J. Herrmann Stanley W. Tuell Herman S. Judd Wayne W. Zimmerman CHARLES C. REBERGER ALTERNATE DELEGATES Charles R. Bogue Robert W. Florence 3 BERNARD R. ROWEN Glenn H. Brokaw Glenn G. McBride Robert M. Ferguson Frederick J. Schwind 5 S. ROBERT LAN TIERE

COMMITTEES FREDERICK W. MAIRE Ethics Miles Parrott, Chairman 6 HOMER W. HUMISTON Haskel L. Maier William H. Goering G rievance WOODARD A. NIETHAMMER Cyril B. Ritchie, Chairman J. W. Bowen, Jr. Herman S. Judd 9 STANLEY W. TUELL Program Robert C. Johnson, Chairman 12 ARTHUR P. O’LEARY Robert A. O'Connell Buel L. Sever L ibrary 13 ROBERT E. LANE S. Robert Lantiere, Chairman T. Edmund Deming Haskel L. Maier Dudley W. Houtz John F. Steele 14 SAMUEL E. ADAMS Public Health Max S. Thomas, Chairman DAVID H. JOHNSON Charles McGill George A. Tanbara Public Relations 15 WARREN F. SMITH Robert M. Ferguson, Chairman Kenneth E. Gross John M. Shaw 16 ROBERT M. FREEM AN Arnold J. Herrmann George A. Tanbara Arthur P. Wickstrom MAURICE YOACHIM House and Attendance William E. Avery, Chairman 19 J. B. ROBERTSON Eugene Hanson Haskel L. Maier Civil Disaster 21 GERALD GEISSLER David T. Hellyer, Chairman Richard B. Link Leo F. Sulkosky John M. Shaw Arthur P. Wickstrom PHILIP GRENLEY T . R. Haley Charles E. Kemp D iabetes 23 CARL J. SCHEYER Edwin J. Fairboum, Chairman Frank W. Hennings John S. May 24 JOHN R. FLYNN Entertainment Samuel E. Adams, Chairman 26 FRANK E. SHOVLAIN L. S. Durkin Robert M. Ferguson Robert A. Kallsen 31 LEWIS A. HOPKINS Geriatrics John F. Comfort, Chairman William P. Hauser William McPhee Leonard Morley Legislative Wayne W . Zimmerman. Chairman Douglas P. Buttorff Charles C. Reberger New Addresses John M. Shaw Medical Education Elmer W. Wahlberg, Chairman Dr. Sidney Kase has opened addi­ Glenn H. Brokaw Clinton A. Piper tional offices at the Lakewood Center Schools R. A. Norton, Chairman Medical Building. Theodore Apa George S. Kittredge Orvis A. Harrelson Jack W. Mandevme George A. Tanbara Traffic and Safety Albert Ehrlich, Chairman Mental Health Dr. Gerhart Drucker is now located William H. Todd, Chairman James W. Boudwin Hugo Van Dooren at 7923 Steilacoom Blvd. Bulletin Staff Editor...... — ...... Stanley W. TueU Business Manager...... Judy Gordon Auxiliary News Editor------Mrs. Robert A. Kallsen PATRONIZE YOUR ADVERTISERS 4 B U L L E T I N o f th e Fierce County Medical Society Two Communities Seek Doctors Waterville, Washington A General Practitioner is wanted in L ' i l i l Waterville, Washington— a community of 1,000 population. The agricultural economy consists of wheat and fruit PHARMACY with some livestock. There are good recreational facilities nearby— hunting, 101 North Tacoma Avenue fishing, skiing, boating. The trade area has a population of approximately 3,500 and there is a grade school and a high school in Waterville. The elevation of Prescription Waterville, County seat of Douglas County, is 2,850 feet. Druggists The Douglas County Memorial Hos­ pital in Waterville has 15 beds, is well- staffed and has complete surgical and obstetrical facilities as well as laboratory and X-ray. The hospital was opened in 1949 ana financed by donations. This is a community hospital and has oper­ ated in the black for the last 6 years. We Carry a Complete Stock of For further information, contact Mr. Biologicals and Pharmaceuticals C. A. Wilson, Waterville, Washington. Connell, Washington The recent disability of the doctor practicing in the town of Connell, Wash­ ington, has left the town without a prac­ ticing physician. We are seeking a gen­ eral practitioner interested in serving this community for a six month period 'When Moments Count" The possibility of remaining in practice there is very real. Connell is 35 miles north of Pasco on the Spokane highway. The popula­ FUlton 3-2411 tion is about 2,000"with a rather large surrounding rural area. The clinic office is well-equipped and can easily accom­ PROMPT FREE DELIVERY modate two doctors. Any interested persons should con­ tact Mrs. M. G. Fellows, Connell Clinic, ★ Connell, Washington Phone: BE 4-3707 or BE 4-3827).

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REGULAR MEETING

PIERCE COUNTY MEDICAL SOCIETY Tuesday, December 12 M EETING . . . 8:15 P.M.

MEDICAL ARTS BUILDING AUDITOBIUM

* * O tt

ELECTION OF OFFICERS

PROGRAM

“School Health vs. Private Practice”

O r v i s A. H a r r e l s o n , M.D.

* # <* *

A no-host social hour and dinner will precede the meeting Social Hour: 6:00 Dinner: 6:45 Place: Honan’s Restaurant 739¥2 St. Helens Ave.

Perler’s Studio which, of necessity, declared a moratorium on the Pictorial Roster during the pre-Christmas rush, will resume photograph­ ing physicians on December 10. All those who have not yet been "mugged'’ will be contacted for an appointment or, if you prefer, call the studio after December 10 and make your appointment at a time most convenient for you. It is important that the Roster be complete and the cooperation of every doctor is requested. Remember, there is no charge and no obligation. Seasons Greetings 6 BU LLETIN of the Fierce County M edical Society December Calendar of Meetings

MONDAY TUESDAYWEDNESDAY THURSDAY FRIDAY

1

C.P.C. of St. Joseph’s— 0 a.m.

4 5 6 7 8 Staff of T . G. 6 :3 0 p.m. C.P.C. of Tacoma General— 8:30 a.m. C.P.C. of St. Tacoma Acad, of Joseph’s— 9 a.m. Psych. & Neurol. Pierce County 8 :3 0 p.m. Pediatric Society C.P.C. of Mary 6 p.m. Bridge— 8 a.m.

11 1 2 13 1 4 1 5

Stall of Good Pierce County Staff of Medical Samaritan M edical Society Arts— 7 :1 5 a.m. 6 :3 0 p.m. 8 :1 5 P.M . C.P.C. of Tacoma P.C.M.B. Board General— 8:30 a.m. 8 :0 0 p.m. Staff of Doctor's C.P.C. of Mary 7 :3 0 p.m. Bridge— 8 a.m. C.P.C. of St. Joseph’s— 9 a.m.

18 1 9 2 0 2 1 2 2

Staff of Tacoma Surgical Man' Bridge Staff of St. Joseph’s Club—6:30 p.m. C.P.C. of Tacoma 1 2 :1 5 p.m. 6 :0 0 p.m. General— 8:30 a.m. C.P.C. of Mary C.P.C. of St. Bridge— 8 a.m. Joseph’s— 9 a.m.

2 5 2 6 2 7 2 8 2 9

Tacoma Academy MERRY of Internal Medicine C.P.C. of Tacoma CHRISTMAS 6 :0 0 p.m. General— 8:30 a.m.

C.P.C. of Mary Bridge— 8 a.m.

Grand Rounds— Mt. View General Hospital— Every Saturday 8:30 to 10:00 a.m.

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Once you own investments— no coasting! Caring for them takes skill and experience and—above all—time. But spare time is what doctors who work long hours don ’t have. If you are a part-time investor, you should know that the skills and facilities we devote to caring for estates are also yours to draw on now. The cost is always moderate for the work involved, and usually tax deductible. Like to have the details? Drop in soon. 8 BU LLETIN o f the Pierce County M edical Society Pierce County Medical Society Nominees . . . 1962 Ballots received by mail November 28, 1961, are to be returned to the Medical Society office not later than . . . 5:00 p.m. Tuesday, December 12, 1961.

President-Elect (Vote for one) Woodard A. Niethammer, M.D. Stanley W. Tuell, M.D.

Vice-President (Vote for one) Frederick J. Schwind, M.D. Don G. Willard, M.D.

Secretary-T reasurer Arnold J. Herrmann, M.D.

Trustees (Vote for three) Thomas H. Clark, M.D. Edmund A. Kanar, M.D. John F. Comfort, M.D. Warren F. Smith, M.D. Robert M. Ferguson, M.D. George A. Tanbara, M.D.

Delegates (Vote for six) Douglas P. Buttorff, M.D. Woodard A. Niethammer, M.D. Arnold .J. Herrmann, M.D. Stanley W. Tuell, M.D. George S. Kittredge, M.D. G. M. Whitacre, M.D. Wayne W. Zimmerman, M.D

Alternate Delegates (Vote for six) Richard F. Barronian, M.D. Robert M. Ferguson, M.D. Charles R. Bogue, M.D. Robert W. Florence, M.D. Glenn H. Brokaw, M.D. Glenn G. McBride, M.D. Fredrick J. Schwind, M.D.

Seasons Greetings BEALL’S The Prescription Store DAMMEIER 124 Meridian South Printing Co. PUYALLUP BRoadway 2-8303 Phone Puyallup 5-8444 811 Pacific Ave. Tacoma BULLETIN of the Fierce County M edical Society 9

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PRESIDENT'S PAGE

1961 is rapidly drawing to a close and I want to take this oppor­ tunity to express my appreciation to the membership for allowing me to serve as President of the Pierce County Medical Society. It has been a real honor and privilege.

I also want to especially thank the officers, trustees, and the chair­ men of the many committees who have made it possible for the Society to function. Without their cooperation nothing could have been accomplished.

Our executive secretary is an untiring worker for our Society and I want her to know we do appreciate her efforts.

This has been an interesting and busy year. The meetings have been fairly well attended with a high of 99 and a low of 61. This is really not too good for a Society of almost 300 members. We hope that this will be improved.

Our television program, “Ask Your Doctor”, is continuing to be well received. Much credit should go to Dr. Robert Ferguson, chairman of the Public Relations Committee, and to Dr. A. J. Herrmann, moderator, as well as to the panel participants. Station KTNT-TV is to be congratu­ lated for continuing to show this program on a sustaining basis.

One of the busiest committees was the Grievance Committee. During the year 19 complaints were received against 10 doctors; 10 of these were complaints of over-charging and in 5 of these cases, the committee felt the charges were unjustified and the doctors and complaining parties were so advised. The other cases were settled by committee action.

Since this was a legislative year in the State, and with the King Bill active on the national level, our Legislative Committee has been very busy. Due to pressure of the King Bill proponents, a special commit­ tee is working in this area. It would help immensely if each of us would talk to one patient a day and explain why we do not like the King Bill and point out how the Kerr-Mills plan, already in operation, will better serve the medical requirements of the aging population.

At the last meeting of the A.M.A., the machinery was set up so that AMPAC (American Medical Political Action Committee) could be organized. This has now been accomplished The local committee mem­ bers will soon be contacting each of us and their efforts may well deter­ mine the future of medicine in this country. We should give them our whole-hearted support.

These, and other activities have combined to make this a most interesting year. C h r is C. R e y n o l d s , M.D., President. 12 BU LLETIN o f th e Pierce County M edical Society The Lowly Committee Sorry, but committee-appointing time is here again! If you get trapped on one and are depressed about it, cheer up. The lowly com­ mittee, the handiest butt of parliamentary procedure jokes, is actually the conscience of our medical profession. Hear! Hear! Webster defined “conscience” as a principle conceived to decide as to the moral qaulity of one’s own acts. If we modify this to read “moral and scientific quality”, we can accept the premise that committees— especially tissue, ethics, surgical, medical, credentials and executive— are the conscience of our profession. Self-righteous though it may sound, there is no doubt that the only persons qualified to judge, criti­ cize or mold the moral and scientific quality of medical practice in a community, are the doctors themselves. If we fail to do this in an efficient and organized manner, we are not only failing in our obliga­ tion to provide the best possible medical care for our community, but we are inviting interference from non-professional interests— we are abetting the cause of those who would inflict socialized medicine on our patients. To those of you who have the responsibility of electing or appoint­ ing committees, I urge you to choose men whose opinions have already earned the respect of the other members of the staff or society. Avoid an appointee whom you think could be capable of making decisions based on personal prejudices. Since a committee is human, it can err. Democracy requires that the entire staff have the power to overrule an unwise committee action. But if the component members of a com­ mittee are men generally recognized by their colleagues for their fair­ ness and high scientific and moral standards (like you), then the medical staff or society can almost invariably uphold the decisions of such a committee. No committee can be more effective than the moral strength of the medical community that produced it Indeed, if as individuals or as a group, we fail to support ouv own committee organization, it may collapse. With it will collapse the conscience of our medical community, to be replaced by the occasionally unpredictable whims of individual consciences, or the principle of “every man for himself.” (Not to be confused with another principle known as “free enterprise.”) To those who are asked to serve on committees, do not lightly refuse this obligation. Upholding the quality of medical care in our community requires something more than the conscientious conduct of one’s own practice. To those of you who have charts reviewed or criticized by a com­ mittee during the year— welcome to the club! All of us should be willing to have our work reviewed and should respectfully consider any con­ structive criticism that may come from a committee. A well-chosen committee is an integral part of the medical staff organization— which includes all of us— conscientiously trying to keep patient-care at its best, not just trying to clobber somebody! So if you find yourself on a lowly committee, consider yourself highly flattered— the rest of us think you’re the ideal man for the job. S.W.T. BULLETIN of the Piebce County M edical Society 13

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AUXILIARY OFFICERS—1961-62 return to her for display at next year’s President...... Mrs. Kenneth E. Gross state meeting. The missile comes in President-Elect ...... Mrs. Herman S. Judd 1st Vice-President...... Mrs. Philip Grcnley sections thusly; the nose cone is the 2nd Vice-President______Mrs. Robert R. Burt 3rd Vice-President...... Mrs. William Burrows Doctor’s Image, next a section for Com­ 4th Vice-President...... Mrs. Dale Doherty Recording Secretary ...... Mrs. Dudley W. Houtz munity Services, followed by Health Corresponding Secretary Mrs. Arthur P. Wickstrom Treasurer...... Mrs. Haskel L. Maier Services, Programming, a tail of By- Assistant Treasurer ...... Mrs. Glenn H. Brokaw COMMITTEE CHAIRMEN Laws and Finances, and a booster of American Medical Education Good Publicity. The idea being that dur­ Foundation______Mrs. Elmer W. Wahlberg National Bulletin ...... Mrs. Jack Mandcvdlle ing the year we shall fill in the areas Civil Defense...... Mrs, Robert R. Burt Historian______Mrs. Charles J. Galbraith with whatever we accomplish in each of Legislative...... Mrs. Samuel E. Adams Membership ...... Mrs. Galen H. Hoover and these activities. Mrs. Evans emphasized Mrs. M. E . Lawrence Nurse Recruitm ent ______Mrs. G. W . BischofF that education is a necessary function Paramedical ____ Mrs. Myron A. Bass Program...... Mrs. M. J. Wicks of Auxiliary and should be a part of Publicity...... Mrs. Robert C. Johnson Bulletin ...... Mrs. Robert A. Kallsen every program. Revisions...... Mrs. Richard F . Barronian Safety...... Mrs. Robert W . Osborne Mrs. Evans also mentioned the two Social______Mrs. Robert W. Florence and Mrs. Charles P. Larson new departments the AMA has acquired Speakers Bureau ...... Mrs. Philip Grenley Telephone------Mrs. Richard B. Link this year: (1) The Church and Religion Today’s H ea lth ...... Mrs. Bernard R. Rowen Minute Women ...... Mrs. George A. Race and section. The Council of United Churches Mrs. Thomas R. West Community Service ...... Mrs. Orvis A. Harrclson took an embarrassing stand on the King- H eart...... Mrs. Edward R. Anderson Cancer...... Mrs. J. Robert Brooke Anderson bill, and this new section of Finance...... Mrs. J. Robert Brooke Community Council______...Mrs. John F. Steele AMA hopes to alleviate any further mis­ D ance...... Mrs. John S. May and Mrs. David F. Dye understandings of this sort. (2) AM- Fashion Show______Maybclle Miller and Mrs. Russell Q. Colley PAC, the AMA’s new political action Cook Book ...... Mrs. Thomas B. Murphy and Mrs. Robert A. O’Connell committee, was further explained to us. At the national level there is already Auxiliary does not meet in December. one Auxiliary member on AMPAC’s The next meeting will be a coffee party Board. It is hoped that the state commit­ January 19 at the Wicks’ residence. tee will also include an Auxiliary repre­ Luncheon at Billie Jean Murphy’s sentative. The State AMPAC has set up home is always quite pleasant, and committees of seven or eight doctors in November meeting was no exception. each of our state’s seven congressional The Murphy’s ample house, tastefully districts who have studied the 192-page decorated, combines the best of new King-Anderson bill. They will meet with with supereminent antiques, and like the congressmen of their own districts to try to give the profession’s viewpoint Ferdinand amongst the flowers, we could spend all day thinking about that of this bill. These personal contacts, and large oriental rug. Luncheon was very especially by doctors who have read the bill and made an effort to understand it, good and beautifully served, thanks to Kay Wright, luncheon chairman, and will surely be of some benefit. AMPAC is also setting up a mass- her committee; Hilda Lantiere, Adele mail program for Auxiliary. We are to Durkin, Sheila Dimant, Betty Smeall expect letters routinely now, encourag­ and Donna Ferguson. ing us to write our congressmen on State Auxiliary President Mrs. Don­ various facets of these bills, and to in­ ald Evans gave us a poster painting of terest lay friends and neighbors in ex- a theoretical Auxiliary Missile, which we are to complete during this year and (Continued on Page 23) 2 2 B U LLETIN of the Pierce County M edical Society

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1324 MARKET STREET BULLETIN of the Pierce County M edical Society 2 3 pressing their opinion too, if it coincides of the models. Edith Lawrence’s seating with ours, that is. This tactic may seem arrangements couldn’t have been more dsagreeable to some members who feel precisely done by an electronic com­ independent action is more representa­ puter, and having hostesses direct tive. On the other hand, it’s this or guests to their tables insured the effi­ independent inaction, it seems. ciency of this plan. On the whole, vete­ Mrs. Evans closed her short talk by ran show-goers declared it the best ever. saying that legislation is our number one problem now. Newsellaneous At this point we rather hoped Lor­ The Gay Nineties quartette, Evelyn raine Adams would jump up and fill us Osbome, Hazel Whitacre, Gladys Han­ in with the latest news. However Lor­ sen, Muriel Nelson, and their fifth at the raine, who has been slightly misrepre­ piano, Sandy Rosenbladt, are back be­ sented in this column, and Grossly mis­ hind the footlights, made two appear­ represented elsewhere as one who apol­ ances at the Yacht Club last month, one ogizes for talking constantly, gave us a the same day as the Auxiliary’s lunch­ restrained but potent thought for the eon meeting. day on legislation. We should have bet­ Also the same day as Auxiliary’s ter answers, Lorraine says, and she November luncheon, Dorothy Grenley gave as an example this question . . . was on hand to assist as Faith Home “Doctors threaten us with inferior care opened its doors to their first group of under socialized medicine. Isn’t it the prospective unwed mothers. Faith Home doctor’s responsibility to give the best will have an open house on Sunday, care?” This is a double-edged one which December 10. The Home will be vacated leaves many quick-answer artists floun­ for that day, and open house guests may dering. Lorraine gives us the ready reply make a complete tour of the facilities. to it . . . “Socialized medicine takes this responsibility away from the doc­ One For the Calendar tor and places it in a bureau in Wash­ ington, D.C.” That gay group, the Internists, will Katherine Humiston suggested that a again treat wives to a night on the town debate on socialized medicine being con­ at the Academy of Internal Medicine’s sidered for Auxiliary’s mid-year confer­ annual ball on December 9. The party ence in March would be made more in­ is semi-formal, dinner and dancing will teresting by having someone who is be at the Doric Hotel, preceded by cock­ intelligently and cruelly dedicated to tails at the Presidents’ home. federal health care on the other side. Fashion Show Shows Profit Merry Christmas Long past but not forgotten, Auxil­ iary’s fall fashion show is still news, as and Show Chairman Maybelle Miller an­ nounces the party netted $537.27 for A Happy New Year! Auxiliary’s AMEF and nurses’ scholar­ ship funds. Maybelle definitely deserves applause for making it appear easy. The enormous job her committee had done prior to the show was accomplished so smoothly there was nary a ruffled feath­ er in view, except perhaps on the hats 2 4 BU LLETIN of the Pierce County M edical Society

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We’re all anxiously awaiting is expected to arrive in December. the adventures she’ll undoubtedly have Christmas is rapidly approaching and to tell. we will have the same old problem of Congratulations to two brand new supplying trees for the various floors R.N.’s," graduates of St. Joseph’s, Miss and depts. Dr. McRae in the past few Patty Gordon and Miss Georgia Clark. years has very kindly offered us as many Miss Clark recently joined the ranks of as we need. Therefore it will be neces­ the U.S. Army, currently being stationed sary for all departments to let me know in Texas, and will be assigned to Fort as soon as possible their requirements Bragg, North Carolina in the near so I can let the Doctor know how many future. to cut. A newsworthy event was the election The carpenter and plumber and elec­ of Mrs. Moe, O.R. Clinical instructor, as trician are very busy at present in the the regional A.O.R.N. President. Con­ Clinical Lab. We are completely redoing gratulations again. the bacteriology room, new sinks, We in surgery really enjoy reading counters, lights, vent-hood, paint and ‘Along the Corridors’ and hearing about even new linoleum on the floor. All the the happenings in the different depart­ plumbing and wiring has been roughed ments. Sometimes this is the only way in and new cabinets are ready to be we find out what’s going on in the rest placed in their positions. We hope to of the hospital aside from the few times have this completed in another week’s we do get around on another floor. time. Next on the agenda is modernizing School of Nursing the x-ray office. New large scale view boxes for examining a whole series of The Christmas Sale November 6-7 x-ray plates has been ordered. New which was sponsored by the Student cabinets are in the stage of construction Body of St. Joseph’s School of Nursing and will be installed soon. was a huge success. In the very near future work will start The Junior Class presented a Uni­ on removing the old water sterilizers in form Style Show, in the school lounge the treatment rooms. Since the addition November 21 at 3; 30 and 8:00 p.m. of the new water still in the C.S.R. it is no longer necessary to use these old Preclinicals pieces of equipment. The removal of these pieces will give much needed The class of ’64 is making plans to space in these treatment rooms. transform Brown’s Point 'clubhouse into a “Winter Wonderland” on Decem­ Surgery ber 15, when they will present the an­ nual Christmas semi-formal. The pre­ The surgery crew welcomes two new clinicals will have additional time to young women to our staff: Mrs. Mary plan for the dance, due to Thanksgiving Ellen Norwe, a graduate from Mitchell, vacation, which began on November 22. South Dakota; and Mrs. Pauline Chand­ Many girls, eagerly anticipating the ler, from Salt Lake City, Utah, who holiday as an opportunity to visit par­ transferred to surgery from Medical ents and relatives and friends, had Floor. already purchased their train tickets or Many of us in surgery were fortunate bus tickets and by November 22 you enough to attend Doctor Carl C. Walter’s can be sure that every one was packed of Massachusetts, lectures on aseptic and ready to go. techniques in surgery, which were un­ usually interesting and left us all with Pediatric News many new ideas for a better surgery. Mrs. Hilda Pennert, a surgery em­ Thanksgiving was depicted in its ployee for many years, left November original form for the children on No­ BULLETIN of the Pierce County M edical Society 2 9 v ember 21. A thanksgiving dinner Should one or more of these fireplace “family style” was given by the students colors be ingested, we recommend that lor the children with turkey, trimmings the stomach be emptied as soon as and all furnished by the staff members. The decorations, dinner and stories con­ possible following ingestion, demulcents veyed the true idea of “Thanksgiving” such as milk or olive oil should then be reminding us and teaching the children administered. Further treatment, if to count and be thankful for their necessary, should be directed toward blessings. the specific compound ingested. Clinical We would also like to thank the many school groups for the tray favors made toxicology of Commercial Products for the children who spent their Thanks­ (page 1101) available at the Poison giving day in the hospital. Control Center. Best wishes for a Merry Christmas “Snow S p r a y s ” — Ingestion leads to to all. no toxic consequences. The propellant vehicles for these particles are methy­ Toxic Hazards at lene chloride and freons. Inhalation during the spraying process could con­ Christmas ceivably produce toxic manifestations (Excerpts from the National Clearing such as nausea and vomiting, headache House for Poison Control Centers.) and central nervous system depression Christmas Tree Bubbling Fluid— are the acute manifestations. Treatment The bubbling fluid is methylene chlor­ is symptomatic and supportive. ide. Few episodes of central nervous Icicles— The metallic foil streamers system depression occurred in very usually contain a mixture of 40 per small children following ingestion of cent metallic tin and 60 per cent metal­ this fluid. lic lead. Acute ingestion should produce The amount of bubbling fluid (methy­ little or no toxicity. lene chloride) contained in one of these Electric Train Accessories — The decorations is 3 to 4 ml. Methylene smoke pellets of one train manufac­ chloride can cause central nervous sys­ turer contain an aromatic hydrocarbon tem depression preceded or followed by (meta-terphenyl) in a wax base. The central nervous system excitation. The smoke cartridges of another toy train estimated lethal dose of this substance manufacturer contain equal amounts is 0.5-5.0 ml./Kg. Toxicity can occur of mineral oil and cedar wood oil. Each from inhalation or ingestion. cartridge or pellet contains an extremely In the event that Christmas tree small volume of active ingredients and bubbling fluid is ingested, the stomach although cedar wood oil and aromatic should be emptied as soon as possible hydrocarbons are potentially toxic sub­ following ingestion. Further treatment stances. it is unlikely that inhalation of is then symptomatic and supportive and the smoke or ingestion of small quan­ will probably be directed toward central tities of these pellets or cartridges will nervsous system manifestations. be followed by toxic manifestations. Fireplace Colors—A group of po­ One of the electric train manufac­ tentially toxic substances used fre­ turers markets a cleaning fluid for toy quently in the home at Christmas time train tracks. This fluid contains deodor­ are fireplace colors. These substances ized kerosene. Central nervous system are metallic salts, copper, barium, selen­ depression, hydrocarbon pneumonitis ium, lead, thallium, arsenic and anti­ and pulmonary edema may result after mony and can produce intense gastro­ ingestion of kerosene. intestinal irritation and other toxic Holly (H ex )— The berries of this manifestations. plant are reported to be toxic. Nausea. 3 0 BU LLETIN of the Fierce County M edical Society vomiting and central nervous system & Dohme. depression may occur following inges­ The meeting will start with break­ fast at 8:00 a.m. at the Yakima Valley tion of holly berries. Vomiting should be Memorial Hospital. induced as soon as possible after the Case presentation and commentary berries are ingested. will be held from 9:00 a.m . to 11:30 Mistletoe— Studies of the aqueous a.m. Commentaries will be offered by and alcoholic extracts have demon­ Dr. Franz Buschke, Professor of Radi­ ology, University of California Medical strated a direct stimulating effect on School, Dr. K. Alvin Merendino, Pro­ smooth muscles — arteries, intestines, fessor of Surgery, and Dr. Robert Aid- bladder and uterus. rich, Professor of Pediatrics, University A fatality, following ingestion of a of Washington Medical School. Six out­ tea brewed from American mistletoe standing cases will be presented by local men. berries has been reported. Prior to death, Lunch will be served at St. Elizabeth which occurred approximately 9Vz hours Hospital where Dr. Aldrich will be the after ingestion of the tea, the victim guest speaker. His topic will be “Pedi­ manifested signs of acute gastrointes­ atric Problems and Recent Advances in tinal irritation and cardiovascular' col­ Medical Education in Greece, Turkey and Yugoslavia”. The afternoon session lapse. The post-mortem examination re­ will be conducted bv Drs. Buschke and vealed no cause of death. Merendino, their subjects being “Radio- It is recommended that emesis be Therapy of Intra-Thoracic Neoplasms” induced following ingestion of mistle­ and “Reflux Esophagitis, a Medical or toe leaves or berries. Further treatment Surgical Problem”. The evening session will be open to is symptomatic and supportive in wives at the Yakima Country Club for nature. social hour and dinner. The guest speak­ Dancing Moth B a l l s — Placing moth er will be Dr. Romney H. Lowry, Chief balls in a colored solution of water and of Bio-Space Laboratories, Boeing Corp., vinegar and adding sodium bicarbon­ Seattle, Washington, whose topic will ate, the carbon dioxide is liberated from be “Bio-Astronautics, The New Medical Frontier”. the reaction between the vinegar and Doctors on the western slope are cor­ sodium bicarbonate in the solution and dially invited and more information will buffets the moth balls floating on the be sent by writing the Executive Secre­ surface of the solution making them tary, Yakima County Medical Society, appear to “dance”. 216 Larson-Andrews Building, Yakima, Washington. Most moth balls contain paradichloro- benzene; some still contain naphtha­ lene. Both of these substances are cap­ Poison Control Center able of producing toxic manifestations POLICY STATEMENT following ingestion, although naptha- Organization lene is of greater toxicity than paradi- The Poison Control Center is a co­ chlorobenzene. operative effort of the Pierce County Medical Society, through its Poison Con­ trol Committee, and the Mountain Central Washington View General Hospital. Purpose Medical Seminar To provide information to physicians The Yakima County Medical Society and patients in cases of poisoning and will be host to a Central Washington suspected poisoning. Medical Seminar to be an all day affair Calls From Physicians on Thursday, December 14, 1961. The The Center has current information Seminar will be sponsored by the Yak­ on a rapidly growing list, now num­ ima Surgical Society, Yakima Tumor bering over 20,000 items, or hazardous Clinic with a grant from Merck, Sharpe drugs and household products. This BULLETIN of the Pierce County M edical Society 31 data is obtained from the U.S.P.H.S. Please acquaint your personnel with National Clearing House of Poison Con­ this policy. If any difficulty is experi­ trol Centers and from independent enced, please contact one of the mem­ sources. In any case of poisoning the bers of the committee. We would wel­ physician is encouraged to call the come your suggestions for improved Center for information regarding ingre­ service to the physicians of Pierce dients, toxic symptoms and dose, and County. recommended treatment as given by Poison Control Committee these standard sources. B e r n a r d A . B a d e r , M .D . Calls From Patients Chairman C l a r i s A l l i s o n , M .D . All calls from patients and parents are D a v i d S p a r l i n g , M.D. checked against the same file. In each G e o r g e T a n b a r a , M.D. case the patient is informed whether the substance involved is (a) not danger­ ous, (b) probably in need of immediate attention, or (c) an acute emergency. Classified Advertising In each case where the patient requires care, he is told to immediately call his FOR SALE BY OWNERS physician. Whenever urgent care is re­ REAL CHOICE HOOD CANAL WATERFRONT quired, the Center assists in arranging OR BACK LOTS—located on a beautiful for the care. If the patient’s physician point, fine pea gravel beach; private com­ or his alternate is not available, the call munity launching ramp; dock with float; is referred to another physician of the private lodge and shop. SELECT YOUR LOT NOW AT WINTER PRICES WITH AL­ patient’s selection or to a member of MOST ANY TERMS. . . . CALL OR the Pierce County Medical Society Poi­ W R IT E Dr. C. Russell Perkins, Office, SK son Control Committee. 2-4228; Home, SK 2-8123; 2613 No. 21st, Tacoma, Washington. Records MEDICAL SPACE AVAILABLE Records of each call from physician TACOMA NORTH END or patient are kept in a log book at the New Medical-Dental Bldg.; completely equipped; Center. This record identifies the patient on arterial street; in well populated residen­ and the suspected poison and indicates tial area; off-street parking. Large reception the advice given. office with business office adjoining (2 ) pri­ vate offices - six treatment rooms, laboratory, (2) rest rooms, wide hallway. Treatment For information, building plan, call or write Patients requiring emergency room Mr. Robt. Goldberg, 4320 N. 27th, Tacoma, care are directed to the hospital selected Wn, days FU 3-3484 - eve. SK 9-7035. by the private physician, or to the near­ est emergency room when the matter is MEDICAL SPACES FOR RENT IN urgent. The private physician is given LAKEWOOD FURNISHED OR UNFURNISHED the Center’s recommendation for treat­ DOCTOR, do you want a completely furnished ment. Patients, regardless of eligibility, Lakewood Office with ample parking? arriving at the emergency room of Two brand-new medical suites axe now avail­ Mountain View General Hospital are able in new Lakewood Professional Village given whatever immediate emergency building, suitable for part-time, full-time, single or shared occupancy. Located between care is necessary. Such care to private new Lakewood Hospital and Villa Plaza Shop- patients is given per instructions of the ing Center. Contact: Mitch Gasparovich, 3660 private physician, provided he can be Tahoma Place, Tacoma 66. Phone SK 2-2033. contacted. FO R SA LE— INSTRUM EN TS— Half price or less, Summary mostly new. some used— Forceps, Retractors. Sterilizers, Substage lights, Syringes. Cast This is your Poison Control Center. It cutter, Bone drill, used Cameron Cautery and was organized primarily to provide in­ Medcotherm. If interested, feel free to eome formation in poisoning emergencies. In by 1209 So. 12th and inspect. cases where emergency treatment is needed and the physician cannot be available, the Center stands ready to assist in arranging this treatment. Merry Christmas Pierce County Medical Society BULK RATE Medical Arts Building U. S. POSTAGE Tacoma 2, Washington PAID TACOMA, WASH. PERMIT No. 300

MONTHLY MEETINGS STAFF OF DOCTORS HOSPITAL OF TACOMA Second Monday of March, June, Sept., Dec.— 7:30 p.m. Auditorium of Medical Arts Bldg. STAFF OF GOOD SAMARITAN Second Monday of March, June, Sept., Dec.—6:30 p.m. STAFF OF NORTHERN PACIFIC Second Monday of each month—noon. STAFF OF ST. JOSEPH'S Third Monday of March, June, Sept., Dec.—6:15 p.m. STAFF OF MOUNTAIN VIEW GENERAL HOSPITAL Last Monday of February, June September and November TACOMA ACADEMY OF PSYCHIATRISTS and NEUROLOGISTS First Tuesday of each month— 8:30 p.m. Board Room of Pierce County Medical Society PIERCE COUNTY MEDICAL SOCIETY Second Tuesday of the month except June, July & August —-8:15 p.m. STAFF OF TACOMA GENERAL First Tuesday of March, June, Sept., Dec.— 6:30 p.m. TACOMA SURGICAL CLUB Third Tuesday of each month—6:30 p.m. at Tacoma Club TACOMA ACADEMY OF INTERNAL MEDICINE Fourth Tuesday of each month— 6 p.m. at Tacoma Club TACOMA ACADEMY OF GENERAL PRACTICE Fourth Monday of each month except June, July & August —6:30 p.m. at Honan's PIERCE COUNTY PEDIATRIC SOCIETY First Thursday of each month except June, July and August — 6:00 p.m. STAFF OF MEDICAL ARTS HOSPITAL Third Friday of March, June, Sept., Dec.—7:15 a.m. at New Yorker Cafe STAFF OF MARY BRIDGE CHILDREN'S HOSPITAL Fourth Friday of March, June, Sept., Dec.— 12:15 p.m.